• Title/Summary/Keyword: Multidimensional Scales

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Investigation on Cancer Pain Assessment (암성 통증의 평가방법에 대한 고찰)

  • Cho, Jung-Hyo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.2
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    • pp.548-553
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    • 2007
  • In general, cancer pain is neither fully recognized nor adequately treated. The inadequate pain control is due to failure of accurate assessment of cancer pain. This study was aimed to understand various characters of cancer pain and investigate available assessment scales which have been designed for, or frequently used with people with cancer pain. A total of 23 articles were selected from two different databases. The selected articles were analyzed according to three aspects of initial assessment, patient self-report and assessment of the outcomes of pain management. The characters of cancer pain is complex and includes physical, psychosocial, and spiritual dimension. Also, subjective pain can be classified into at least four specific factors, such as pain intensity, pain affect, pain relief, and pain quality. Based on various classification, the pain assessment scales can be divided into unidimensional or multidimensional. Among the more commonly used clinical tools are numeric rating scales, verbal rating scales, visual analog scales, and picture scales. Above all, in order to assess cancer pain objectively, the clinician must select appropriate assessment instruments which reflect pain definition and clinical purpose.

Validity and Reliability of Translated Multidimensional Assessment of Fatigue Scale for the Patients with Rheumatoid Arthritis (류마티스 관절염환자용 다차원적 피로척도의 타당도 및 신뢰도)

  • Lee, Kyung-Sook;Lee, Eun-Ok
    • Journal of muscle and joint health
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    • v.5 no.2
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    • pp.206-221
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    • 1998
  • The purpose of this study was to validate translated Multidimensional Assessment of Fatigue(MAF) scale. The scale is a 16-item scale that measures four dimensions of fatigue : severity, distress, impact, timing. Fourteen items are numerical rating scales and 2 items have multiple choice responses. Data were collected from the 137 patients with rheumatoid arthritis after content validation. Criterion validity was tested by correlation coefficient with Piper Fatigue Scale, which resulted in 0.7573(p<.0000). Construct validity was tested by item analysis and factor analysis. Corrected item-total correlation coefficients were 0.63-0.88. And factor analysis showed 2 factors : fatigue degree factor and fatigue impact factor. These two factors explained 73.5% of total variance. Reliability of internal consistency was 0.96 in Cronbach's alpha. Further validation study is necessary in each factor in other settings with other subjects.

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Structure of the Self-Concept of Korean Primary and Secondary School Students : Analysis by Multidimensional Hierarchical Model (다면적·위계적 모델을 중심으로 본 초·중학생들의 자아개념 구조 분석)

  • Cho, Hyun Chul
    • Korean Journal of Child Studies
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    • v.21 no.2
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    • pp.99-118
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    • 2000
  • This study investigated the self-concepts of Korean students based on Marsh and Shavelson's(1985) multidimensional hierarchical model. Reduced forms of the Self-Description Questionnaire(SDQ)-I and -II were administered to 308 5th and 6th grade students and 718 7th to 9th grade students. Results of 2 factor analyses indicated that sub-scales 9 and 11 were well established for SDQ-I and -II, respectively, partly confirming the multidimensionality of self-concept. The factors involving distinctions between academic and non-academic higher-order factors and between the academic/math and the academic/verbal factors were not so differentiated nor hierarchically arranged as proposed by the model. These differences may be attributed to the heavy influence of the academic self-concept on the other sub-factors. A Locality ${\times}$ Sex ${\times}$ Grade ANOVA showed main effects of locality favoring urban areas and of sex favoring boys.

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Pain measurement in oral and maxillofacial surgery

  • Sirintawat, Nattapong;Sawang, Kamonpun;Chaiyasamut, Teeranut;Wongsirichat, Natthamet
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.4
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    • pp.253-263
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    • 2017
  • Regardless of whether it is acute or chronic, the assessment of pain should be simple and practical. Since the intensity of pain is thought to be one of the primary factors that determine its effect on a human's overall function and sense, there are many scales to assess pain. The aim of the current article was to review pain intensity scales that are commonly used in dental and oral and maxillofacial surgery (OMFS). Previous studies demonstrated that multidimensional scales, such as the McGill Pain Questionnaire, Short form of the McGill Pain Questionnaire, and Wisconsin Brief Pain Questionnaire were suitable for assessing chronic pain, while unidimensional scales, like the Visual Analogue Scales (VAS), Verbal descriptor scale, Verbal rating scale, Numerical rating Scale, Faces Pain Scale, Wong-Baker Faces Pain Rating Scale (WBS), and Full Cup Test, were used to evaluate acute pain. The WBS is widely used to assess pain in children and elderly because other scales are often difficult to understand, which could consequently lead to an overestimation of the pain intensity. In dental or OMFS research, the use of the VAS is more common because it is more reliable, valid, sensitive, and appropriate. However, some researchers use NRS to evaluate OMFS pain in adults because this scale is easier to use than VAS and yields relatively similar pain scores. This review only assessed pain scales used for post-operative OMFS or dental pain.

Similarity on Types of Illegal Weapon Self-report (불법무기 자진신고의 대상별 유사성)

  • Joo, Il-Yeob;Cho, Kwang-Rae
    • Korean Security Journal
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    • no.53
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    • pp.137-157
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    • 2017
  • The purpose of this study was to analyze similarity on types of illegal weapon self-report such as firearms, swords, shells, bullets, explosives in 16 regions of Korea in 2011, 2015. The results of this study were as follows. First, the types of illegal weapon self-report in 2011 were divided into two clusters, such as (1) 'cluster 1' including firearms, swords, shells and explosives, (2) 'cluster 2' including bullets. Second, the multidimensional scales on the types of illegal weapon self-report in 2011 were firearms located in the lower right corner(4/4), swords located in the lower right corner(4/4), shells located in the lower right corner(4/4), bullets located in the center left corner(3/4), explosives located in the higher right corner(1/4). Third, the types of illegal weapon self-report in 2015 were divided into two clusters, such as (1) 'cluster 1' including firearms, swords, shells and explosives, (2) 'cluster 2' including bullets. Forth, the multidimensional scales on the types of illegal weapon self-report in 2015 were firearms located in the lower right corner(4/4), swords located in the higher right corner(1/4), shells located in the higher right corner(1/4), bullets located in the center left corner(2/4), explosives located in the center right corner(4/4).

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Comparison of the Pediatric Balance Scale and Fullerton Advanced Balance Scale for Predicting Falls in Children With Cerebral Palsy

  • Kim, Gyoung-mo
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.63-70
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    • 2016
  • Background: The Pediatric Balance Scale (PBS) and the Fullerton Advanced Balance (FAB) scale were used to assess balance function in patients with balance problem. These multidimensional clinical balance scales provide information about potential risk factors for falls. Objects: The purpose of this study was to investigate and compare the predictive properties of the PBS and FAB scales relative to fall risk in children with cerebral palsy (CP) using a receiver operating characteristic analysis. Methods: In total, 49 children with CP (boy=21, girl=28) who were diagnosed with level 1 or 2 according to the Gross Motor Function Classification System participated in this study. The PBS and FAB were performed, and verified cut-off score, sensitivity, specificity, and the area of under the curve (AUC). Results: In this study, the PBS scale was as a predictive measure of fall risk, but the FAB was not significant in children with CP. A cut-off score of 45.5 points provided optimal sensitivity of .90 and specificity of .69 on the PBS, and a cut-off score of 21.5 points provided optimal sensitivity of .90 and specificity of .62 on the FAB. Both scales showed moderately accurate of AUC with .79 and .76, respectively. Conclusion: The PBS is a useful screening tool for predicting fall risk in children with cerebral palsy, and those who score 45.5 or lower indicate a high risk for falls and are in need of balance intervention.

Review on Objective evaluation of Dysmenorrhea (월경통의 객관적 평가 기준에 대한 임상 논문 고찰)

  • Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Park, Myung-Won
    • The Journal of Korean Obstetrics and Gynecology
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    • v.19 no.1
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    • pp.178-187
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    • 2006
  • Purpose : The aim of this study was to investigate objective evaluation of dysmenorrhea. Methods : The study was conducted by 37 articles from year 1979 to 2003 on dysmenorrhea, scale and questionaire. The articles was limited by English, Human, and Clinical trial Results : 1. The 37 articles on dysmenorrhea evaluated by scale or questionaire have been published from 1979. There are 27 articles of randomized controlled trial among them. 2. Scale or question has confidence in the assessment of dysmenorrhea. 3. In the initial stage the article on dysmenorrhea was assessed by only one unidimentional scale. However in recent articles multidimensional scales are applied frequently. Moreover it is the modern trend that point scale such as 100mm VAS and MVRS(multidimensional verbal rating scale) are applied together in one article on dysmenorrhea. Conclusion : It can be suggested that scale or questionaire be the method for objective evaluation of dysmenorrhea.

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Classification of Textural Descriptors for Establishing Texture Naming System(TNS) of Fabrics -Textural Descriptions of Women's Suits Fabrics for Fall/winter Seasons- (옷감의 질감 명명 체계 확립을 위한 질감 속성자 분류 -여성 슈트용 추동복지의 질감 속성을 중심으로-)

  • Han Eun-Gyeong;Kim Eun-Ae
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.5 s.153
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    • pp.699-710
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    • 2006
  • The objective of this study was to identify the texture-related components of woven fabrics and to develop a multidimensional perceptual structure map to represent the tactile textures. Eighty subjects in clothing and tektite industries were selected for multivariate data on each fabric of 30 using the questionnaire with 9 pointed semantic differential scales of 20 texture-related adjectives. Data were analyzed by factor analysis, hierarchical cluster analysis, and multidimensional scaling(MDS) using SPSS statistical package. The results showed that the five factors were selected and composed of density/warmth-coolness, stiffness, extensibility, drapeability, and surface/slipperiness. As a result of hierarchical cluster analysis, 30 fabrics were grouped by four clusters; each cluster was named with density/warmth-coolness, surface/slipperiness, stiffness, and extensibility, respectively. By MDS, three dimensions of tactile texture were obtained and a 3-dimensional perceptual structure map was suggested. The three dimensions were named as surface/slipperiness, extensibility, and stiffness. We proposed a positioning perceptual map of fabrics related to texture naming system(TNS). To classify the textural features of the woven fabrics, hierarchical cluster analysis containing all the data variations, even though it includes the errors, may be more desirable than texture-related multidimensional data analysis based on factor loading values in respect of the effective variables reduction without losing the critical variations.

A Study on the Reliability and Validity of a Korean translated Multidimensional Experiential Avoidance Questionnaire (한국어판 다차원적 체험회피 질문지의 신뢰도 및 타당도 연구)

  • Jung, Ji-Hyun
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.517-526
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    • 2018
  • The purpose of this study was to translate and examine the reliability and validity of Multidimensional Experiential Avoidance Questionnaire (MEAQ) developed by $G{\acute{a}}mez$, Chmielewski, Kotov, Ruggero, and Watson. 285 college students completed the MEAQ. Exploratory factor analysis supported the six factor structure of the 50 items. Internal consistency of 50 items was .91. 315 college students completed the MEAQ. Confirmatory factor analysis confirmed six factor structure of 50 items. 275 students of them completed also Acceptance-Action Questionnaire II, White Bear Suppression Inventory, Toronto Alexithymia Scale, Neuroticism, avoidant coping, CES-D, Beck Anxiety Inventory, Psychological Well-Being Scale, Satisfaction with Life Scale. Correlations between MEAQ and these scales supported the convergent, discriminant, and criterion-related validity.

The Study For Clinical Measurement of Pain (통증(痛症)의 임상적평가법(臨床的評價法)에 관한 고찰(考察))

  • Shin, Seung-Uoo;Chung, Seok-Hee;Lee, Jong-Soo;Shin, Hyun-Dae;Kim, Sung-Soo
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.25-46
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    • 2000
  • Pain can be evaluated by experimental methods and clinical methods, but due to subjective characteristics of pain, clinical methods are generally used. The clinical pain measurement tools are divided into unidimensional and multidimensional assessment tools. The former include Visual Analogue Scale, Verbal Rating Scale, Numerical Rating Scale, Pain Faces Scale, and Poker Chip Tool and the latter include McGill Pain Questionnaire, MMPI, Pain Behavior Scale, Pain disability index, and Pain Rating Scale. Unidimensional pain scales mainly measure the intensity of pain on the basis of the patient's self report and their simple construction and ease of use enable the invesgator to assess acute pain. Multidimensional pain scales are used to evaluate subjective, psychological and behavioral aspects of pain and because of its comprehensive and confidential properties they are applied to chronic pain. Patient's linguistic and cognitive abilities are major factors to restrain accurate assessment of pain. Although behavioral patterns and vital sign are inferior to self-report in the measurement of pain, they can be useful indexes in those situations. When deciding on a pain-assessment tool, the investigator must determine which aspect of pain he or she wishes to evaluate on the characteristics of the group of patients, their backgrounds, and their communication skills. Making the proper choice will facilitate the acquisition of meaningful data and the formulation of valid conclusions.

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