Telehealth is needed urgently nationwide, given the COVID-19 pandemic. It isespecially urgent in rural and less populated areas where healthcare access is limited. Currently, because there are no pediatric handwriting assessments validated for telehealth use, the TeleWrite assessment would fill an unmet service need and expand the use of telehealth-based occupational therapy (OT) assessment in pediatric practice. This dissertation explored the preliminary psychometric properties of TeleWrite, a handwriting assessment tool designed to measure the legibility and fluency of handwriting for children in first through third grade administered via telehealth. A series of studies were completed to determine initial interrater reliability, content validity, and clinical utility using classical test theory. The Rasch model of measurement was used to determine the preliminary psychometric properties of TeleWrite using Winsteps® (v. 4.7.0). The quantitative Rasch analysis of TeleWrite included administration of the tool to 148 children from first to third grade. This study tested the initial construct validity (internal validity) and test reliability of TeleWrite using the Rasch model of measurement. The Partial Credit Model (PCM) was used for rating scale analysis because TeleWrite is composed of three distinct scales (handwriting rate, accuracy, and fluency) that differs per task (near point or far point) and per grade level. The Rasch analysis showed a generally good fit with the Rasch unidimensional model, indicating strong construct and internal validity and moderate ability to separate abilities of students reliably in terms of handwriting skills. However, following the Rasch model, a larger sample is necessary to obtain improved calibration, reliability, and validity measures. This study and supported by the literature described the need for a new handwriting evaluation tool validated for telehealth use. The findings of the current research contribute to the literature and OT practice as the first handwriting assessment specifically designed and validated for telehealth use that assesses all pertinent variables of handwriting associated with handwriting difficulties.

Objective: To evaluate the psychometric properties of the Spanish version of Jenkins Sleep Scale with 4 items (JSS-4) of the Peruvian health system's (PHS) nurses and physicians. Methods: We carried out a psychometric study based on secondary analysis in a sample from a nationally representative survey that used acomplex sampling design. The participants were physicians and nurses aged 18–65 years, working in PHS private and public facilities, who have fulfilled all JSS-4 items. We performed a confirmatory factor analysis. Reliability was evaluated via two estimates - classic alpha (α) and categorical omega (ω) coefficients. Also, we tested the invariance across groups of variables. The convergent validity was evaluated based on the relation between JSS-4 and PHQ-2 using Pearson's correlation coefficient and effect size (Cohen's d). Also, we designed normative values based on percentiles. Results: We included 2100 physicians and 2826 nurses in the analysis. We observed that the unidimensional model has adequate goodness-of-fit indices and values of α and ω coefficients. No measurement invariance was found between the groups of professionals and age groups; however, invariance was achieved between sex, monthly income, work-related illness, and chronic illness groups. Regarding the relation with other variables, the JSS-4 has a small correlation with PHQ-2. Also, profession and age-specific normative values were proposed. Conclusion: JSS-4 Spanish version has adequate psychometric properties in PHS nurses and physicians. / Revisión por pares

Best practice in gifted and talented identification procedures involves making decisions on the basis of multiple measures. However, very little research has investigated the impact of different methods of combining multiple measures. This article examines the consequences of the conjunctive ("and"), disjunctive/complementary ("or"), and compensatory ("mean") models for combining scores from multiple assessments. It considers the impact of rule choice on the size of the student population, the ability heterogeneity of the identified students, and the psychometric performance of such systems. It also uses statistical simulation to examine the performance of the state of Georgia's mandated and complex multiple-criteria assessment system.

Late-life depression is a major public health concern, associated with poor health outcomes, including doubling of dementia risk. Psychiatric evaluation is impractical in large epidemiological studies, which instead typically rely on self/informant reports, which are subject to various biases (stigma, recall). Few studies have addressed level of agreement between sources. This study examined associations between these sources and assessed whether subject and informant variables moderated these associations. In a population-based study of dementia in Cache County, Utah (2002-5), 1,480 subjects completed an in-depth clinical assessment (CA). Major depression was assessed via the self-report Patient Health Questionnaire-9 (PHQ-9) and informant-rated Neuropsychiatric Inventory (NPI-CA). One hundred forty-eight subjects with cognitive impairment also completed a psychiatrist’s examination, including the self-report Geriatric Depression Scale (GDS), the informant-rated NPI (NPI-MD), and the physician’s clinical rating (PCR). Bivariate correlations were modest: NPI-CA versus PHQ-9 (r = .26), NPI-MD versus GDS (r = .20), GDS versus PCR (r = .22), NPI-MD versus PCR (r = .45). Kappa statistics and logistic regression models indicated that the NPI-CA predicted the PHQ-9 moderately (ϰ = .08, p <.001; OR = 3.1, 95% CI: 1.5 to 6.1). Results also indicated that the GDS did not significantly predict the PCR (ϰ = .10, p > .05; 95% CI: 0.7 to 11.2) nor the NPI-MD (ϰ = .01, p > .05; 95% CI: 0.6 to 6.3), and that the NPI-MD predicted the PCR moderately well (ϰ = .35, p < .001; OR= 11.1, 95% CI: 2.6 to 48.3). CA-NPI predicted the PHQ-9 for cognitively normal subjects (ϰ = .13, p < .001; OR = 10.1, 95% CI: 1.9 to 52.6) but not for subjects with mild impairment (ϰ = .01, p > .05; 95% CI: 0.4 to 4.3) nor dementia (ϰ = .14, p > .05; 95% CI: 0.9 to 7.8). No other variables moderated these associations. Results suggest the importance of cognitive assessment when measuring late-life depression via self-report.

This study investigated the validity of the family incongruence score, a statistic which quantifies the discrepancies between family members' perceptions of their family system using answers given on the Family Environment Scale. Based on findings concerning incongruence in other environments, it was hypothesized that high family incongruence scores would be associated with more problems in the family system.

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Background: To assess the validity and reliability of the set of scales (general professional activity, health services management, and working conditions) on the different areas of job satisfaction in Peruvian physicians based on the data from the National Survey of Satisfaction of Users in Health (ENSUSALUD). Method: We carried out a psychometric study based on the secondary data analysis of Questionnaire 2 of ENSUSALUD-2016. Participants were selected from a two-stage stratified national probability representative sampling by political region. Validity was assessed by exploratory and confirmatory factor analyses, and measurement invariance analysis. We assessed the reliability using internal consistency coefficients (alpha and omega). The set of scales were composed of items related to three different areas of job satisfaction: 1) satisfaction with general professional activity, 2) satisfaction with the health services management, and 3) satisfaction with the working conditions of the health center. Results: We included 2137 participants in the analysis. The general professional activity scale with six items (Comparative Fit Index, CFI = 0.946; Root Mean Square Error of Approximation, RMSEA = 0.071; Standardized Root Mean Square Residual, SRMR = 0.035), the health services management scale with eight items (CFI) = 0.972; RMSEA = 0.081; SRMR = 0.028), showed good measurement properties for the one-dimensional model. The working conditions scale with eight items for individual conditions and three items for infrastructural conditions (CFI = 0.914; RMSEA = 0.080; SRMR = 0.055) presented adequate measurement properties with a two-dimensional model. The invariance analysis showed that comparisons between sex, age, civil status, medical speciality, working in other institutions, work-related illness, chronic disease, and time working in the healthcare center. All scales had adequate internal consistency (ω and α between 0.70 and 0.90). Conclusions: The set of scales has a solid factorial structure and measurement invariance, making it possible for group comparison. The study achieved stability in the scores as they showed adequate internal consistency coefficients. Based on our findings, these instruments are suitable for measuring job satisfaction among outpatient physicians throughout Peru, as our data is representative of the country level. / Revisión por pares

The primary purpose of this study was to measure geriatric patients’ levels of intellectual functioning in order to determine the reliability of several specific test instruments. From the battery of measurements used in the study, it was an additional objective to recommend which of these test instruments, or combination thereof, would be most applicable for geriatric patients, based on the empirical findings of this study. Level of intellectual functioning may certainly be influenced by many factors. Therefore, it was part of this study to measure and control for the effects of the following variable: sex, age, education, and medication.

The strength of ethnic identity has been linked to higher academic achievement, academic attainment, and overall psychological wellbeing. The Muligroup Ethnic Identity Measure (MEIM) was developed to measure ethnic identity development, and this measure has been used widely. The MEIM has since been updated to the Multigroup Ethnic Identity Measure–Revised (MEIM–R). The relatively new MEIM–R has not been widely studied. In order to solidify researchers' confidence in the measure, a reliability generalization analysis was performed and the data compared to the original MEIM. Random-effects weighted models evaluated internal consistency coefficients (Chronbach's alpha). The MEIM–R demonstrated adequate reliability coefficients (average α = .88) and tended to produce more reliable data than the original MEIM (average α = .84 across a sample of 75 studies). Reliability coefficients did not differ across participant age, gender, and race, but more reliability was generally obtained when participants had relatively higher levels of education. This study indicates that researchers and others may have confidence in using the MEIM–R, although future studies should specifically seek to confirm its validity.