Attention-Deficit Hyperactivity Disorder (ADHD) is currently one of the most frequent problems for which children are referred to mental health clinics in this country, affecting approximately 3-5% of the childhood population. Although adequate assessment and identification of this disorder is imperative, most of the currently existing measures to assess for ADHD in children are inadequate . The present research study involved the development and content validation of a new behavior rating scale prototype for assessing ADHD in the school-age (K-12) population. This research was conducted in five distinct steps: (a) item development; (b) development of the prototype; (c) content validation by an expert panel; (d) evaluation of the prototype; and ( e) modification of the prototype. Initial behavioral descriptors were obtained from a comprehensive and systematic review of the literature related to ADHD in school-age children. Potential items were then reviewed by a panel of experts in the area of ADHD in children. A panel of teachers and a panel of parents rated the usability of the prototype and the overall quality of the items. Two different types of rating formats were developed to help determine, through the content validation and the usability ratings of the prototype, which rating format would be most appropriate and useful for the eventual users of the rating scale. A final version of the prototype was constructed, including the revised items, a rating scale format, instructions to the informant, questions regarding the demographic characteristics of the child being assessed, and a mixed order presentation of the items.

Submitted by Haroudo Xavier Filho (haroudo.xavierfo@ufpe.br) on 2016-04-19T14:22:21Z No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) SUMARIO NOVO_Dissertação_final_Juliana_Barros.pdf: 2081494 bytes, checksum: 5369e10ca48228172d4af19c12f46e6c (MD5) / Made available in DSpace on 2016-04-19T14:22:21Z (GMT). No. of bitstreams: 2 license_rdf: 1232 bytes, checksum: 66e71c371cc565284e70f40736c94386 (MD5) SUMARIO NOVO_Dissertação_final_Juliana_Barros.pdf: 2081494 bytes, checksum: 5369e10ca48228172d4af19c12f46e6c (MD5) Previous issue date: 2015-07-10 / FACEPE / Estudos recentes mostram que pessoas com esquizofrenia apresentam alterações em vários domínios cognitivos, incluindo a percepção da forma. O presente estudo tem como objetivo descrever o processo de construção e validação de conteúdo e de face do Teste de Organização Perceptual Visual (TOPV), que consiste num instrumento neuropsicológico que visa testar a percepção visual de forma em esquizofrênicos. Um grupo de 7 juízes, peritos em Neurociências e Percepção Visual foi solicitado a avaliar um conjunto de 50 imagens de borrões de tinta com simetria vertical. A tarefa consistiu em contornar todas as figuras percebidas e julgar as imagens quanto à qualidade e pertinência para o teste, com pontuação distribuída em escala Likert. O Índice de Validade de Conteúdo (IVC) das pranchas foi calculado e 23 imagens apresentaram IVC ≥ 0,85 em ambos os critérios, sendo que apenas 13 obtiveram concordância quanto ao número de imagens e 3 imagens foram excluídas por sugestão dos juízes, por apresentarem baixa neutralidade. Como resultado foram selecionadas para compor o protocolo clínico final do TOPV 10 imagens, sendo 2 policromáticas, 3 em escala de cinza e 5 em escala de cinza e vermelho. / Recent studies show that people with schizophrenia have changes in several cognitive domains; include perception of shape. This work aims to describe the process of construction and validation of content of Perceptual Organization Visual Test (TOPV), which is an neuropsychological instrument to assess visual perception of form in schizophrenics. A group of 7 judges, experts in Neuroscience and Visual Perception was asked to evaluate a set of 50 images of ink blots with vertical symmetry. The task consisted to circumvent any perceived images and judge the quality of the image and relevance to the test, with scores distributed in Likert scale. The Content Validity Index (IVC) of the boards was calculated and 23 images had IVC ≥ 0.85 in both criteria, only 13 had agreement on the number of images and 3 images were excluded for convenience. The clinical protocol of TOPV included 10 images, 2 polychromatic, 3 grayscale and 5 grayscale and red.

There is "no one-size-fits-all solution" to school safety (Cybersecurity & Infrastructure Security Agency, 2022. p. 7). The growing number of school shootings and health problems at schools raise serious questions about the dimensions of school safety that should be measured. Prior extensive surveys measuring elementary student's views of safety in relation to relevant safety issues have not been conducted. There were four objectives for this study: 1) to investigate relevant dimensions of school safety and understand safety procedures that are currently in use; 2) to formulate and organize questions that would be approved to gauge elementary students' perceptions about school safety; 3) to assess validity and reliability of expert's perceived school safety relevancy scores of the SPSS Scale's items and theoretical dimensions of school safety; and 4) to determine whether school guardians and law enforcement share the same concerns about school safety. A preliminary analysis using Q-Method was run which led to approximately 27% reduction of items; differences in officer and teacher ratings were found. The primary task called for law enforcement and school guardians' expert judgement on relevancy and suitability of the SPSS Scale. A series of tests were performed to examine the scores to assess the validity and reliability of the safety expert's ratings. A Kruskal-Wallis H test was used to evaluate target hardening to ascertain whether the safety experts have similar concerns regarding school safety. Findings concluded that there were no statistically significant differences among the experts' ratings of the items; they share the same view. Strong reliability was shown in the close correlation between the expert's judgments of the scale items and the theoretical constructs of school safety. The SPSS Scale's applicability to comprehensively evaluate school safety was raised by agreement over themes discovered on the relevant but unreported school safety issues.

Abstract Background: We developed and validated clinical vignettes to assess decision-making preferences (DMP) among adults with cancer across the cancer care continuum. We aimed to adapt the Autonomy Preferences Index (API) to better reflect the complexities of cancer care, incorporating scenarios that span from prevention to end-of-life care. Existing tools often focus on acute conditions and short-term decisions, leaving a gap in addressing long-term cancer-related decision-making. Methods: Using a mixed-methods approach and following COSMIN methodology, we designed clinical vignettes around the cancer care continuum (CV-Ca) to represent real-life cancer care decisions. We then evaluated their content validity by having ten experts rate their relevance and clarity to obtain a Content Validity Index (CVI). Additionally, we conducted semi-structured interviews to gather qualitative insights. Based on this expert feedback, we revised the CV-Ca to ensure they aligned with current clinical practice and effectively captured the complexities of cancer decision-making. Results: The final CV-Ca demonstrated strong content validity, with improved CVI ratings after revisions. By using both quantitative and qualitative methods, we comprehensively assessed the vignettes and ensured their relevance and clarity. This study is the first to create vignettes that measure DMP across the entire cancer continuum, addressing a significant gap in existing tools. Conclusions: The validated CV-Ca can potentially provide healthcare providers with a reliable instrument to assess DMP in patients with cancer throughout their care journey. This tool supports shared decision-making, helping clinicians ensure that care aligns with patients' values and preferences. It has significant implications for improving patient-centered care in oncology, potentially enhancing treatment adherence, satisfaction, and outcomes. Future steps will involve piloting the tool in clinical settings and further assessing its reliability and construct validity. / Thesis / Master of Health Sciences (MSc) / Lay Abstract We developed and tested clinical vignettes to better understand how involved adult patients with cancer want to be when making decisions about their care. These vignettes cover different stages of cancer care, from prevention to end-of-life, addressing gaps in existing instruments that mainly focus on acute conditions and short-term decisions. Using both quantitative and qualitative methods, we asked ten experts, including healthcare providers and patients, to assess the relevance and clarity of the vignettes. Based on their feedback, we revised the vignettes to ensure they accurately represent real-life cancer care decisions. The final set of vignettes demonstrated strong content validity, meaning they effectively capture patient decision-making preferences throughout the cancer journey. This instrument can help healthcare providers engage in shared decision-making, ensuring care aligns with patients’ values and preferences. Next step is to pilot the instrument in clinical settings to test its effectiveness in improving cancer care.

Ao percorremos a trajetória de construção dos diagnósticos de enfermagem \"Trauma vascular\" e \"risco para trauma vascular\", buscamos, no capítulo 1, apresentar a classificação dos tipos de veias superficiais periféricas de adolescentes, adultos e idosos, segundo as características de uma veia passível de ser puncionada para fins terapêuticos e de diagnóstico, com base na aplicação da técnica Delphi, envolvendo juízes de quatro categorias profissionais distintas (angiologistas, anestesistas, enfermeiros e bioquímicos). Obtivemos índice de concordância para totalmente adequado/pertinente de mais de 90% e menos de 10% para moderadamente adequado/pertinente nos 13 critérios, a saber: mobilidade; trajeto; inserção/derivação; calibre; visibilidade; palpação e localização, tendo, como referencia: a articulação; localização da veia, tendo como referência, sua anatomia; regularidade do diâmetro do trajeto venoso; consistência do trajeto venoso; solução de continuidade das paredes do vaso; facilidade de punção e outros critérios a serem incluídos. No segundo capítulo, apresentamos a construção dos elementos (titulo, características definidoras, fatores relacionados) do diagnóstico de enfermagem \"trauma vascular\" e dos elementos (título e fatores de risco) para o diagnóstico de enfermagem \"Risco para trauma vascular\", baseando-nos na revisão literária e em nossa experiência profissional, e a validação de seus respectivos componentes, segundo o modelo de Fhering (1986) e adaptação do mesmo aos fatores relacionados e aos fatores de risco. Participaram 60 peritos. Reafirmamos: das 18 características definidoras analisadas, 15 são maiores (ponto de corte >=0,8) e 1 menor (ponto de corte >=0,50 ou <0,80); dos 14 fatores relacionados analisados, todos tiveram aceitação, sendo que 11 deles obtiveram escores de media ponderada >=0,8 e, dos 51 fatores de riscos analisados, 8 foram aprovados com escores >=0,50 para as situações ligadas a medicação e a forma/periodicidade de infusão; 4 foram aprovados para situações ligadas ao dispositivo endovenoso e seu tempo de permanência num mesmo sítio de inserção; 5 foram aprovados para situações ligadas a fixação do dispositivo endovenoso; 10 foram aprovados para situações ligadas ao indivíduo, seus hábitos, padrão de comunicação, estilo de vida e capacidade sensório-motora e 20 aprovados para as situações ligadas as decisões profissionais, a política institucional e ao procedimento propriamente. Finalmente, no capítulo 3, apresentamos validação clínica de alguns componentes do diagnóstico \"trauma vascular\" e \"Risco para trauma vascular\", utilizando um estudo de coorte, quando foram avaliadas 323 pessoas e 427 sítios de inserção de dispositivos endovenosos. Obtivemos significância no teste de ajuste do modelo para um conjunto de nove variáveis passíveis de serem transpostas para populações similares, merecendo destaque o tempo de permanência do dispositivo num mesmo sítio de inserção e a qualidade da fixação dos dispositivos (se fixos ou frouxos). Outros fatores mostraram-se relevantes somente para a população do estudo. / As we investigate the process of the construction of nursing diagnoses (vascular trauma and/or Risk of vascular trauma), we intend to classify, in the first chapter, the types of peripheral surface veins of teenage, adult, and elderly patients, according to the characteristics of a vein that can be punctured for therapeutic and diagnostics purposes, based on the application of the Delphi technique, judged by people from our different professional categories (angiologists, anesthetists, nurses and biochemists). We obtained a C.I. of over 90% for totally adequate/pertinent and less than 10% for moderately adequate/pertinent for the 13 criteria applied: mobility, course, insertion/derivation, caliber, visibility, palpation and localization with reference to the joint, location of the vein with reference to its anatomical structure, regulation of the diameter of the venous course, consistency of the venous course, continuity of the vessel tissue, how easy it is to puncture the vein, and other criteria to be included. In chapter 2, we present the construction of the elements (name, defining features, related factors) of the nursing diagnosis \"vascular trauma\" and of the elements (name, risk factor) of the nursing diagnosis \"risk of vascular trauma\", based on our reading of the existing literature and on our work experience, and the validation of their respective components as in Fhering´s (1986) model, and the adaptation of these to the related factors and risk factors. 60 experts took part. To summarize: of the 18 defining features analyzed, 15 were found to be greater (cut-off point >=0,8) and one smaller (cut-off point >=0,5 and <=0,8); of the 14 related factors analyzed, all met with approval, 11 of them with weighted average scores greater than or equal to 0,8 and of the 51 risk factors analyzed, 8 were approved with scores over 0,5 for situations connected with medication and the manner or intervals of infusion; 4 were approved for situations connected with the intravenous device and the time it remained in the same place of insertion, 5 were approved for situations connected with the individual, his/her habits, standard of communication, lifestyle and sensory-motor ability, and 20 were approved for situations connected with professional decisions, institutional policies and the procedure itself. Finally, in chapter 3, we present the clinical validation of some components of the diagnoses \"vascular trauma\" and \"risk of vascular trauma\", using a group study; our observations were based on 323 people and 427 point of insertion of the intravenous device. The results of the model adjustment test were significant tor a set of nine variables which may be transposed to similar populations. The most prominent of these variables were the time the device remained in one place of insertion and the quality of fixing of the devices (whether they were fixed or loose). Other factors were shown to be relevant only for the population under study.

Ao percorremos a trajetória de construção dos diagnósticos de enfermagem \"Trauma vascular\" e \"risco para trauma vascular\", buscamos, no capítulo 1, apresentar a classificação dos tipos de veias superficiais periféricas de adolescentes, adultos e idosos, segundo as características de uma veia passível de ser puncionada para fins terapêuticos e de diagnóstico, com base na aplicação da técnica Delphi, envolvendo juízes de quatro categorias profissionais distintas (angiologistas, anestesistas, enfermeiros e bioquímicos). Obtivemos índice de concordância para totalmente adequado/pertinente de mais de 90% e menos de 10% para moderadamente adequado/pertinente nos 13 critérios, a saber: mobilidade; trajeto; inserção/derivação; calibre; visibilidade; palpação e localização, tendo, como referencia: a articulação; localização da veia, tendo como referência, sua anatomia; regularidade do diâmetro do trajeto venoso; consistência do trajeto venoso; solução de continuidade das paredes do vaso; facilidade de punção e outros critérios a serem incluídos. No segundo capítulo, apresentamos a construção dos elementos (titulo, características definidoras, fatores relacionados) do diagnóstico de enfermagem \"trauma vascular\" e dos elementos (título e fatores de risco) para o diagnóstico de enfermagem \"Risco para trauma vascular\", baseando-nos na revisão literária e em nossa experiência profissional, e a validação de seus respectivos componentes, segundo o modelo de Fhering (1986) e adaptação do mesmo aos fatores relacionados e aos fatores de risco. Participaram 60 peritos. Reafirmamos: das 18 características definidoras analisadas, 15 são maiores (ponto de corte >=0,8) e 1 menor (ponto de corte >=0,50 ou <0,80); dos 14 fatores relacionados analisados, todos tiveram aceitação, sendo que 11 deles obtiveram escores de media ponderada >=0,8 e, dos 51 fatores de riscos analisados, 8 foram aprovados com escores >=0,50 para as situações ligadas a medicação e a forma/periodicidade de infusão; 4 foram aprovados para situações ligadas ao dispositivo endovenoso e seu tempo de permanência num mesmo sítio de inserção; 5 foram aprovados para situações ligadas a fixação do dispositivo endovenoso; 10 foram aprovados para situações ligadas ao indivíduo, seus hábitos, padrão de comunicação, estilo de vida e capacidade sensório-motora e 20 aprovados para as situações ligadas as decisões profissionais, a política institucional e ao procedimento propriamente. Finalmente, no capítulo 3, apresentamos validação clínica de alguns componentes do diagnóstico \"trauma vascular\" e \"Risco para trauma vascular\", utilizando um estudo de coorte, quando foram avaliadas 323 pessoas e 427 sítios de inserção de dispositivos endovenosos. Obtivemos significância no teste de ajuste do modelo para um conjunto de nove variáveis passíveis de serem transpostas para populações similares, merecendo destaque o tempo de permanência do dispositivo num mesmo sítio de inserção e a qualidade da fixação dos dispositivos (se fixos ou frouxos). Outros fatores mostraram-se relevantes somente para a população do estudo. / As we investigate the process of the construction of nursing diagnoses (vascular trauma and/or Risk of vascular trauma), we intend to classify, in the first chapter, the types of peripheral surface veins of teenage, adult, and elderly patients, according to the characteristics of a vein that can be punctured for therapeutic and diagnostics purposes, based on the application of the Delphi technique, judged by people from our different professional categories (angiologists, anesthetists, nurses and biochemists). We obtained a C.I. of over 90% for totally adequate/pertinent and less than 10% for moderately adequate/pertinent for the 13 criteria applied: mobility, course, insertion/derivation, caliber, visibility, palpation and localization with reference to the joint, location of the vein with reference to its anatomical structure, regulation of the diameter of the venous course, consistency of the venous course, continuity of the vessel tissue, how easy it is to puncture the vein, and other criteria to be included. In chapter 2, we present the construction of the elements (name, defining features, related factors) of the nursing diagnosis \"vascular trauma\" and of the elements (name, risk factor) of the nursing diagnosis \"risk of vascular trauma\", based on our reading of the existing literature and on our work experience, and the validation of their respective components as in Fhering´s (1986) model, and the adaptation of these to the related factors and risk factors. 60 experts took part. To summarize: of the 18 defining features analyzed, 15 were found to be greater (cut-off point >=0,8) and one smaller (cut-off point >=0,5 and <=0,8); of the 14 related factors analyzed, all met with approval, 11 of them with weighted average scores greater than or equal to 0,8 and of the 51 risk factors analyzed, 8 were approved with scores over 0,5 for situations connected with medication and the manner or intervals of infusion; 4 were approved for situations connected with the intravenous device and the time it remained in the same place of insertion, 5 were approved for situations connected with the individual, his/her habits, standard of communication, lifestyle and sensory-motor ability, and 20 were approved for situations connected with professional decisions, institutional policies and the procedure itself. Finally, in chapter 3, we present the clinical validation of some components of the diagnoses \"vascular trauma\" and \"risk of vascular trauma\", using a group study; our observations were based on 323 people and 427 point of insertion of the intravenous device. The results of the model adjustment test were significant tor a set of nine variables which may be transposed to similar populations. The most prominent of these variables were the time the device remained in one place of insertion and the quality of fixing of the devices (whether they were fixed or loose). Other factors were shown to be relevant only for the population under study.

The overall theme of this thesis is the study of sensory pain assessment and describes how digital pain mapping using standardized iconography can be used to help portray and understand the sensory pain experience. The research presented in this thesis is focused on the design, development, and use of a web-based sensory pain assessment tool for individuals with chronic pain called the Pain-QuILT. “QuILT” is an acronym describing the different parameters that are captured by the tool: pain quality, intensity, and location in a digital format that can be tracked over time. The central hypothesis guiding this work is that users of pain assessment tools will tend to favour a digital icon-based sensory pain mapping tool (‘PainQuILT’) over currently available sensory pain assessment tools. “Pain assessment tool” has been operationally defined as a standardized method for capturing information about an individual’s sensory pain experience. In this context, “users” include both individuals experiencing chronic pain and healthcare providers who seek to assess and understand pain. Research to date has focused on phased evaluation of the Pain-QuILT in the context of clinical sensory pain assessment for two distinct user groups: adolescents (aged 12 to 18 years) and adults (aged 19 years and older) with chronic pain. Each stage of research has generated and been informed by user feedback, leading to iterative improvements in tool functionality. Thus, as a whole, this body of work represents an evolving effort to improve the clinical assessment of sensory pain using the approach of icon-based pain mapping in a digital and visual format. Through the collective research presented in this thesis, we have affirmed that digital pain mapping using iconography is a viable solution to the clinical challenge of sensory pain assessment in adolescents and adults with chronic pain. / Dissertation / Doctor of Philosophy (PhD)