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Biomedical subjects

R N Fox

Publications and source records attributed to R N Fox.

9 recordsLinked to original sources
PubMed1982

Development and validation of a measure of attitudes toward malocclusion.

The Orthodontic Attitude Survey was designed to assess children's and their parents' attitudes toward malocclusion and orthodontic treatment. Five consistent clusters of attitudes had discriminant validity, and were significantly related to plans for orthodontic treatment and to objective and subjective indicators of the child's occlusal status and appearance.

Adolescent↗
PubMed1981

Variables discriminating individuals who seek orthodontic treatment.

Overall, these results support the view that dental-facial esthetics and self-perceptions of occlusal appearance, as well as attitudes toward malocclusion and orthodontic treatment, are important factors in the individual's decision to obtain orthodontic treatment. The data indicate that psychosocial variables not directly related to occlusal problems and treatment, do not add significantly to the description of differences between those who seek treatment and those who do not. While these analyses did not include a number of variables--such as socioeconomic factors or attitudes of significant others--which may also be important in predicting individual response to malocclusion, they do suggest strongly that psychosocial factors directly related to need for treatment are probably most productively assessed in terms of self-perceptions of occlusal appearance and attitudes regarding dental malrelations and their treatment.

Adolescent↗
PubMed1980

Reliability and stability of the orthodontic Patient Cooperation Scale.

Patient cooperation is recognized as an important factor in the outcome of orthodontic treatment. In order to predict patient cooperation, there have been numerous studies which have examined its correlates in orthodontic treatment. However, few, if any, of these studies have considered the reliability or stability of their patient cooperation measures. Hence, the correlates found or not found are suspect. The present article reports on the internal consistency and stability of the Orthodontic Patient Cooperation Scale (OPCS). Using the responses of practicing orthodontists, a list was generated of ten patient behaviors frequently considered in evaluating a patient's cooperation. Subjects were eighth- and ninth-grade students undergoing orthodontic treatment, who were rated by their own orthodontists after 2 months and 6 months of treatment. The internal consistency for the scale was estimated to be 0.71 (N = 44) at 2 months and 0.80 (N = 45) at 6 months. The correlation between scores at 2 months and at 6 months was 0.58 (N = 44), which may be considered to be a conservative estimate of the long-term stability of the scale. In summary, the OPCS has adequate internal consistency and reasonably stable scores over a 4-month period. As such, it should prove useful in studies looking for predictors of patient cooperation and in studies examining the relationship of patient cooperation and outcome of treatment.

Adolescent↗
PubMedDate not supplied

Efficiency of automated literature search mechanisms.

This article explores the efficiency of automated literature search techniques to facilitate literature accessibility. It presents three related studies using the National Library of Medicine ( NLM ) literature search on nurse practitioners (1980) as the point of reference. The studies investigate three questions: Is the search reproducible, does it locate the most important articles pertaining to nurse practitioner effectiveness, and can a system be developed to decide efficiently which articles in a voluminous search output should actually be obtained? Results indicate that the NLM search is reproducible but that it lists only a small proportion of available studies. Neither the NLM document nor a computer search using the parameters it cites located a high proportion of critically nominated studies. However, based upon classification of their titles, a workable system can be developed to identify those articles in a search output that are relevant and should be retrieved.

Bibliographies as Topic↗
PubMedDate not supplied

Internal psychometric characteristics of the quality patient care scale.

This study sought to clarify the subdimensions of the domain of quality nursing care as measured by the Quality Patient Care Scale. The care received by 269 surgical patients over a predetermined period was assessed by nonparticipant nurse observers using the methodology. The instrument contains six subscales. The data analyses showed them to be internally homogeneous and capable of providing reliable measurements. The unrotated first factor for each subscale is strong and items correlate with it and with the respective subscale totals. However, in the Psychosocial Individual, Physical, and General areas, enough clustering of items within subscales emerged to support the contention that there are several conceptually discrete, yet interdependent, sources of variation in each subdomain. The factor analyses identified the clustering of items, but, in the present exploratory mode of research, the ability to understand the apparent complexity of subdomains is limited. Future researchers should elaborate these complexities to determine if they represent consistent and discrete sources of variance that can be replicated and used to provide more accurate assessments. The subscales moderately intercorrelated, and evidenced discriminant validity.

Analysis of Variance↗
PubMedDate not supplied

A patient satisfaction measure as a criterion to evaluate primary nursing.

The Risser Patient Satisfaction Scale was used to evaluate the effectiveness of implementing the key concepts of primary nursing. An experimental control design was used. Forty-six subjects from two units completed the questionnaire. Estimates of reliability and homogeneity are reported. There is reason to question the discriminant validity of the subscales. No significant differences were obtained between the units on any of the subscales or total scale score. A number of explanations are offered for interpreting the measuring of the nonsignificance of the differences. Work need to continue on revising existing patient satisfaction measures or developing new ones. Other criteria with theoretical importance should be used in conjunction with satisfaction measures in assessing the effects of primary nursing.

Consumer Behavior↗