PubMed HealthSearch

SEARCH · PubMed Health

Results for “Validation Study”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 37 records · Page 2Linked to original sources

A construct validation study of the Haan defense scales.

This study tested the validity of the Haan (1965) psychological defense scales, which have shown promise for clinical and research assessment. Three subject samples participated: ex-inpatients (n = 80) from a longitudinal high-risk project, their spouses (n = 104), and private college students (n = 124). Valid defense scales were predicted to show a specific pattern of correlations with MMPI ego-strength and standard scales across all three cohorts, with measures of symptoms among the ex-inpatients, and with overall severity of pathology for all groups in a pattern consistent with Vaillant's defense model. The regression scale showed excellent validity, and projection received equivocal support, but the other scales were not validated. Denial appeared to reflect psychological health.

Adult

Eating style: a validation study of the Dutch Eating Behaviour Questionnaire in normal subjects and women with eating disorders.

This study is a validation of the Dutch Eating Behaviour Questionnaire (DEBQ). Results from normal men and women confirmed the presence of three robust factors of restraint, emotional eating and external eating. Data from women attending 'weightwatchers', and patients with diagnoses of anorexia nervosa and bulimia indicated that the DEBQ was largely successful in identifying the eating styles which are thought to characterise these three client groups. The results were also evaluated in the light of predictions from restraint theory which suggest that chronic restraint is causally related to higher levels of externality and emotional eating.

Adolescent

Variability in nutrient and food intakes among older middle-aged men. Implications for design of epidemiologic and validation studies using food recording.

The authors conducted a dietary methodology study in 1984 in Finnish men aged 55-69 years in order to validate two dietary assessment instruments being used in the US-Finland Alpha-Tocopherol, Beta-Carotene Lung Cancer Prevention Trial. Twelve 2-day food records collected from 162 men over a 6-month period, including every day of the week, served as the reference measure. This report focuses on three important questions for investigating diet and disease relations: 1) How many days are necessary to classify "usual" intake? 2) Is there loss as a result of using consecutive days? 3) Which days are necessary for assessment and classification of "usual" diet? A repeated-measures regression model was used to estimate the variance components and the effects of consecutive days, weekday (weekday vs. weekend), and season. Correlations between the averages of different numbers of days of food records and "true" usual intake were examined along with the resulting attenuations in relative risk. Results suggest that 7-14 days are required to adequately classify most individuals into categories of intake for most nutrients and some foods. There appears to be some loss of information from using consecutive days rather than days further apart. Weekday/weekend differences in mean intakes are slight, and the rank ordering of individuals appears to be preserved. A moderate seasonal effect is shown for classification of fruits, but only a slight one is seen for micronutrients and berries. Implications for the design of epidemiologic and validation studies are discussed.

Aged

Relation of monophasic action potential recorded with contact electrode to underlying transmembrane action potential properties in isolated cardiac tissues: a systematic microelectrode validation study.

Monophasic action potentials, recorded with contact non-suction electrodes, have been used both clinically and experimentally. However, to date no systematic microelectrode validation studies have been done to underlying myocardial cell populations from different myocardial regions with different transmembrane potential profiles. In the present study transmembrane action potential properties, recorded with standard microelectrodes, were compared with monophasic action potentials recorded with contact electrodes in three different (endocardium, epicardium, and free running Purkinje fibre) isolated canine preparations during pacing and during spontaneous automatic activity. The mean transmembrane durations at 50% and 90% repolarisations (APD50 and APD90) of 19-30 cells at a monophasic action potential recording site was not statistically significant from monophasic action potential duration in all three tissue preparations studied. However, in endocardial preparations, composed of superficial (1-2 cell layers) Purkinje fibres with deeper ventricular muscle cells, the APD50 (139(17) ms) and APD90 (181(26) ms) of monophasic action potentials more closely reflected (but not significantly different) the underlying deeper ventricular muscle cells (APD50 134(14) ms and APD90 167(15) ms) rather than the mean transmembrane action potential durations of the underlying most superficial Purkinje fibres (166(22) ms for APD50 and 210(30) ms for APD90) (p less than 0.025). Tetrodotoxin (TTX) at 1 x 10(-6) mol.litre-1 shortened Purkinje fibre action potential duration and slightly lengthened that of ventricular muscle. Simultaneously recorded monophasic action potential showed an intermediate change in action potential duration. Incremental pacing and applied single premature stimuli resulted in similar degrees of shortening of action potential duration for both monophasic action potential and transmembrane potential in all three preparations. In endocardial preparations, barium chloride (4 mmol.litre-1) superfusion induced early afterdepolarisations, and spontaneous phase 4 depolarisations (n = 6) in both Purkinje and ventricular muscle cells giving rise to spontaneous automatic activity. These abnormal automatic activities were accurately detected by simultaneous monophasic action potential recordings. Suppression of automaticity by verapamil (0.2-0.5 micrograms.ml-1) as confirmed by transmembrane action potential recordings were similarly detected by monophasic action potential recordings (ABSTRACT TRUNCATED AT 250 WORDS)

Action Potentials

A computer-based interview system for patients with back pain. A validation study.

A microcomputer-based system has been designed to interview patients with a view to investigating and establishing common syndromes of back and leg pain. In a randomized crossover validation study, 50 consecutive outpatients were interviewed by the computer and had a conventional clerking by a doctor. The conventional clerking made minor errors in 3.75% of questions answered and major errors in 0.90%. The computer made minor errors in 6.75% of questions and major errors in 5.45%. The majority of the computer errors were due to inadequate question design. These have been corrected, and it is anticipated that the computer will now have an overall rate of 94% correct answers and be sufficiently accurate to pursue the aim of clinical syndrome identification.

Back Pain

An external validity study of the MMPI Personality Disorder Scales.

This study examined the external validity of the MMPI Personality Disorder (PD) scales. Patients diagnosed with personality disorders (n = 23), according to a structured interview, were contrasted with medical control subjects and psychiatric patients with no personality disorder (n = 33). The MMPI PD scales could discriminate patients with any personality disorder and patients with specific clusters of personality disorders. Convergent validity was demonstrated by high correlations between the MMPI PD scales and the comparable Millon Clinical Multiaxial Inventory scales, as well as the number of DSM-III personality disorder symptoms. This study represents a preliminary step in the external validation of the MMPI PD scales.

Adult

Conners' Teacher's Rating Scale--a validity study in Hong Kong.

The validity of the Conners' teacher's rating scale (CTRS) in Hong Kong Chinese school children was examined. It was found that CTRS could significantly differentiate a behaviorally deviant group and the normal population; that CTRS has a strong positive correlation with the teacher's decision to refer a child to a mental health professional; that the CTRS by itself is not useful as a diagnostic instrument; and finally, it cannot stand alone as a screening instrument in the epidemiological study of childhood hyperactivity.

Attention Deficit Disorder with Hyperactivity

Risk assessment for HIV infection: validation study of a computer-assisted preliminary screen.

Development has been undertaken for microcomputer software intended to assess individual risk for HIV infection by analyzing personal case histories pertinent to drug abuse, receptive blood transfusion, and sexual behavior. The software performs interactive confidential interviews of individuals desiring expert assistance when deciding whether to commit to an antibody test. In the first phase of a validation study, 87 subjects responded to the computer interview. For each subject, human immunodeficiency virus (HIV) antibody status was on clinical record. This sample included 70 subjects, 29 of whom were HIV seropositive, recruited from the clientele of an AIDS antibody testing and counseling facility. In this phase, the software accurately assessed 28 of 29 seropositives (96.6%) to be at risk for HIV. The second phase was based upon participation of an additional 74 subjects who were undergraduates at the University of Oklahoma. In this presumed low-risk sample, 55 members reported never having previously tested for HIV antibodies. Seven members (12.7%) of the untested group were declared at risk in the course of receiving confidential computer screen advice. Of these 7, there were 3 members (42.9%) who were motivated by the computer to voluntarily seek HIV antibody testing. Of the 7 declared at risk, 2 members (3.9%) were among the 51 seronegative subjects classified as heterosexuals without specific and identified risks. All Phase II subjects seeking follow-up antibody tests were found seronegative.

Diagnosis, Computer-Assisted

Validation study methods for estimating exposure proportions and odds ratios with misclassified data.

Two methods for making adjustments to an estimate of exposure when data are possibly misclassified are discussed. One, the indirect method, is widely used but the other, the direct method, seems less well-known, despite it being a rather more obvious approach. To implement either requires some knowledge of misclassification rates and it may be possible to estimate these by a validation study. Depending on how sampling for such a study is done, one has the choice of what method to use. Formulae for the variance of estimates are derived and the precision of the methods compared. The direct approach is found to be more efficient.

Environmental Exposure

The anxiety thermometer: a validation study.

The aim of our study was to provide validation and reproducible data for the anxiety thermometer. This thermometer is either a continuous or a 10-point Likert-type scale on which subjects are asked to rate their anxiety feelings at a particular moment. It is a quick way to measure state-anxiety. As a validation criterion the State-Trait Anxiety Inventory (STAI) A-State scale was used. To test the reproducibility of the thermometer, a test-retest correlation coefficient was calculated, with a retrospective second thermometer score. The ego-threatening situation used was a written examination. Two experiments were carried out during different examination conditions. The data consistently indicated that the validity and reproducibility of the anxiety thermometer is fair (correlation coefficients between .60 and .78) In the second study, the possible influence of two factors on the retrospective scores were additionally tested.

Adult

A murine local lymph node assay for the identification of contact allergens. Assay development and results of an initial validation study.

The development of an alternative predictive test for the identification of contact sensitizing chemicals is described. The method is based upon the fact that, following epicutaneous application, sensitizing chemicals initiate a primary immunological response in the draining lymph node(s) which is characterized by lymphocyte proliferation. Experimental conditions for the measurement in vitro of the induced lymph node cell proliferative response have been optimized. On the basis of the data presented a local lymph node assay was developed in which CBA/Ca strain mice were exposed daily, for 3 consecutive days, to various concentrations of the test chemical, or to vehicle alone, on the dorsum of the ear. Lymph node activation was measured subsequently as a function of increased node weight, the frequency of large pyroninophilic cells and lymphocyte proliferation in the presence or absence of an exogenous source of interleukin 2 (IL-2). The results of a validation study are reported in which 22 well-characterized sensitizing chemicals of varying potency were examined. With the exception of three chemicals where water was used as the application vehicle, positive responses, defined as a substantial increase in lymphocyte proliferative activity, were recorded with all these test materials. Under the conditions employed non-sensitizing chemicals, including non-sensitizing irritant chemicals, failed to influence the immunological status of the draining lymph node. Taken together, the data suggest that the local lymph node assay provides the basis for a rapid and cost-effective alternative to the currently available guinea pig predictive test methods. The local lymph node assay may be of particular value for the evaluation of coloured or irritant chemicals.

Allergens

HLA class II (DR and DQ) antigen associations in idiopathic dilated cardiomyopathy. Validation study and meta-analysis of published HLA association studies.

We previously reported antigen frequency differences for HLA-DR4 and HLA-DRw6 between idiopathic dilated cardiomyopathy (IDC) patients and healthy controls in a pilot study. To confirm these findings, we undertook an independent study with a prospective hypothesis regarding the frequencies of DR4 and DRw6; typing for a second family of class II antigens (HLA-DQ) was included because of the proximity of the DQ loci to the DR loci and the strong linkage disequilibrium between some of the DR and DQ alleles. Comparing a new consecutive series of IDC patients (n = 41) and healthy blood bank controls (n = 53), we confirmed an increase of DR4 antigen frequency in patients (49% versus 21%, p less than 0.005). A trend toward decreased expression of DRw6 among patients was also noted (10% of patients versus 23% of controls). HLA-DQw4 was significantly elevated in patients compared with controls (27% versus 6%, p less than 0.005; relative risk, 6.1; etiologic fraction, 0.22). We identified the combined DR4-DQw4 haplotype in five of 41 Caucasian IDC patients (12%) and none of 53 controls (p less than 0.007). A comparison of specific antigen frequencies between the preliminary and validation studies did not reveal significant differences; therefore, the data from the two studies were examined in combination. For the combined studies, DR4 was elevated (51% versus 27% in controls, p less than 0.001), and DRw6 was decreased (9% versus 24% in controls, p less than 0.01). The relative risk for DR4 was 2.8, and the etiologic fraction was 0.33.(ABSTRACT TRUNCATED AT 250 WORDS)

Cardiomyopathy, Dilated

Validity study of the Anxiety Symptoms Interview.

The Anxiety Symptoms Interview (ASI) is a diagnostic instrument designed to identify agoraphobia (with and without panic attacks), panic disorder, social phobia, and obsessive compulsive disorder according to DSM-III criteria. The present study evaluated the diagnostic validity of this instrument by examining the extent to which ASI diagnoses assigned to 73 clinic patients agreed with diagnoses determined by clinicians. Most kappa coefficients and other concordance indicators were in the acceptable range or above, a finding that held for diagnoses overall and for specific diagnoses of agoraphobia with panic attacks, social phobia, and obsessive compulsive disorder. However, none of the 73 patients had clinician-assigned diagnoses of panic disorder (that is, without agoraphobia) or agoraphobia without panic. Limitations and applications of the ASI are discussed.

Adolescent

Self-reported exercise behavior of employees: a validity study.

The aim of the present study was to assess the validity of different self-reported questions for measuring exercise behavior of 551 employees. Values of maximum oxygen intake, body mass index, muscular endurance, and a fitness profile, based on the individual results obtained from each of the three physiologic parameters, were used as validity criteria for the self-reported measures. The influence of fitness profile on the measures of exercise habits indicated that the fit employees reported a more active pattern of exercise behavior, participated in more strenuous physical activity, and expended a greater amount of energy in a typical week than the unfit employees. There was no gain obtained in explaining fitness categorization with a more elaborate method compared with a simple question in measuring exercise behavior. The results of the present study show that the suggested simple method (one question) for assessing exercise behavior of employees is valid and can be useful for nurses and company physicians when evaluating the baseline behavior of a group of employees to assess the impact of exercise promotion programs at the work site.

Adult

A validity study of four empathy instruments.

The construct validity of four empathy instruments were evaluated through examining group differences and correlations between tests. Subjects were 18 registered nurses (RNs) and 32 nursing assistants (NAs). Instruments used were the Empathy Test (Layton, 1979), the Carkhuff (1969a, 1969b) Empathic Understanding in Interpersonal Processes Scale, the empathy subtest of the Barrett-Lennard (1962) Relationship Inventory, and LaMonica's (1981) Empathy Construct Rating Scale (ECRS). The first hypothesis, that RNs would score significantly higher than NAs on all empathy measures, was confirmed (p less than .0003 to p less than .027). The second hypothesis, that the various empathy measures would be positively related, was partially confirmed. The Carkhuff scale was significantly correlated with the ECRS (r = .25, p less than .05). The ECRS and the Barrett-Lennard also were correlated (r = .78, p less than .001). Results are interpreted using Barrett-Lennard's (1981) theory of empathy.

Data Collection

The Elizur test of psycho-organicity (adults). A cross-validation study.

In an effort to cross-validate the Elizur Test of Psycho-Organicity (performed on adults), a combined test used for the diagnosis of organic brain condition, 96 subjects were tested. The test can differentiate the "organic" and "non-organic" groups in a statistically significant manner. Eighty-five percent of the organics and 81% of the non-organics can be correctly identified by the test. In addition there is a significant correlation between the test findings and the electroencephalographic and radiographic results.

Adult

A validation study of a self-directed learning readiness scale.

In a study that investigated the predictive validity of a self-directed learning readiness scale (SDLRS), scores received by 63 first year nursing students on this scale were compared to alternate measures of self-directedness. These measures included nominations as self-directed learners by peers and faculty; entry grades from high school; and grades received at the end of the first year nursing program in five subjects. Results showed a significant correlation between SDLRS scores and peer nomination scores and between SDLRS scores and first year final subject grades. While these correlations were statistically significant, they explained only 7% and 8% of the variance thus not reaching an educationally meaningful level. Limitations of the alternate measures as a substitution for a "gold standard" are discussed.

Educational Measurement