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Journal articles on the topic 'Multidimensional assessment of health'

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Published: 4 June 2021

Last updated: 29 January 2023

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1

Morrow-Howell, Nancy. "Multidimensional Assessment of the Elderly Client." Families in Society: The Journal of Contemporary Social Services 73, no. 7 (September 1992): 395–407. http://dx.doi.org/10.1177/104438949207300702.

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Practitioners encounter more elderly clients and their families as the service demands of our aging society continue to grow. This article seeks to increase gerontological knowledge among students and practitioners by providing an outline for the multidimensional assessment of the elderly client. Seven domains of assessment are reviewed: physical health, mental health, social support, physical environments, functioning, coping styles, and formal service usage. Discussion includes topics to be covered in each dimension, helpful assessment instruments, particularly relevant interviewing skills, and use of allied professionals.

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2

Hawkins, Wesley E., David F. Duncan, and Robert J. McDermott. "A health assessment of older Americans: Some multidimensional measures." Preventive Medicine 17, no. 3 (May 1988): 344–56. http://dx.doi.org/10.1016/0091-7435(88)90009-6.

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Robin, Arthur L., Thomas Koepke, and Ann Moye. "Multidimensional assessment of parent-adolescent relations." Psychological Assessment: A Journal of Consulting and Clinical Psychology 2, no. 4 (December 1990): 451–59. http://dx.doi.org/10.1037/1040-3590.2.4.451.

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Depaoli, Sarah, Jitske Tiemensma, and John M. Felt. "Assessment of health surveys: fitting a multidimensional graded response model." Psychology, Health & Medicine 23, sup1 (March 15, 2018): 13–31. http://dx.doi.org/10.1080/13548506.2018.1447136.

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Viehweger, Elke, Thierry Haumont, Capucine de Lattre, Ana Presedo, Paul Filipetti, Brice Ilharreborde, Pierre Lebarbier, Anderson Loundou, and Marie-Claude Simeoni. "Multidimensional Outcome Assessment in Cerebral Palsy." Journal of Pediatric Orthopaedics 28, no. 5 (July 2008): 576–83. http://dx.doi.org/10.1097/bpo.0b013e31817bd7ef.

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Muramoto, Kuniko. "Multidimensional Assessment of Trauma Impact, Recovery, and Resilience." Journal of Aggression, Maltreatment & Trauma 14, no. 3 (June 28, 2007): 107–18. http://dx.doi.org/10.1300/j146v14n03_07.

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Clark, Duncan B., D. Scott Wood, Christopher S. Martin, Jack R. Cornelius, Kevin G. Lynch, and Saul Shiffman. "Multidimensional assessment of nicotine dependence in adolescents." Drug and Alcohol Dependence 77, no. 3 (March 2005): 235–42. http://dx.doi.org/10.1016/j.drugalcdep.2004.08.019.

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Hooker, Stephanie A., Kevin S. Masters, and Kate B. Carey. "Multidimensional Assessment of Religiousness/Spirituality and Health Behaviors in College Students." International Journal for the Psychology of Religion 24, no. 3 (June 10, 2014): 228–40. http://dx.doi.org/10.1080/10508619.2013.808870.

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Dingenen, Bart, Lincoln Blandford, Mark Comerford, Filip Staes, and Sarah Mottram. "The assessment of movement health in clinical practice: A multidimensional perspective." Physical Therapy in Sport 32 (July 2018): 282–92. http://dx.doi.org/10.1016/j.ptsp.2018.04.008.

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Nikiphorou, E., I. Castrejon, R. Jain, A. Huang, J. A. Block, and T. Pincus. "THU0310 Quantitative Assessment of Fatigue in Routine Care Using a Multidimensional Health Assessment Questionnaire (MDHAQ)." Annals of the Rheumatic Diseases 74, Suppl 2 (June 2015): 308.1–308. http://dx.doi.org/10.1136/annrheumdis-2015-eular.2888.

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Maska, Leann, Jaclyn Anderson, and Kaleb Michaud. "Measures of functional status and quality of life in rheumatoid arthritis: Health Assessment Questionnaire Disability Index (HAQ), Modified Health Assessment Questionnaire (MHAQ), Multidimensional Health Assessment Questionnaire (MDHAQ), Health Assessment." Arthritis Care & Research 63, S11 (November 2011): S4—S13. http://dx.doi.org/10.1002/acr.20620.

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Zhang, Julia, Michele R. Schaeffer, Reid A. Mitchell, Kyle G. Boyle, Olivia N. Hutchinson, Joseph H. Puyat, and Jordan A. Guenette. "A multidimensional assessment of dyspnoea in healthy adults during exercise." European Journal of Applied Physiology 120, no. 11 (August 30, 2020): 2533–45. http://dx.doi.org/10.1007/s00421-020-04479-2.

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13

Bowman, Marissa A., Christopher E. Kline, Daniel J. Buysse, Howard M. Kravitz, Hadine Joffe, Karen A. Matthews, Joyce T. Bromberger, Kathryn A. Roecklein, Robert T. Krafty, and Martica H. Hall. "Longitudinal Association Between Depressive Symptoms and Multidimensional Sleep Health: The SWAN Sleep Study." Annals of Behavioral Medicine 55, no. 7 (January 7, 2021): 641–52. http://dx.doi.org/10.1093/abm/kaaa107.

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Abstract Background Depressive symptoms and sleep disturbances disproportionately affect midlife women. While there may be a bidirectional association, few studies have examined whether depressive symptoms are longitudinally associated with subsequent sleep. Sleep is typically considered unidimensional, despite emerging evidence that multidimensional sleep health provides novel information on the sleep–health link. Purpose The current study examined whether higher depressive symptoms were longitudinally associated with poorer multidimensional sleep health. Method Depressive symptoms were assessed with the Center for Epidemiologic Studies Depression Scale across six to nine annual assessments in 302 midlife women from the Study of Women’s Health Across the Nation. Six months after their last assessment, actigraphy (mean ± standard deviation = 29.3 ± 6.9 days) and self-report were used to assess sleep health components: efficiency, duration, mid-sleep timing, regularity, alertness, and satisfaction, which were dichotomized and summed to create a composite multidimensional sleep health score. Mixed-effects models were used to evaluate the longitudinal associations between depressive symptoms and multidimensional sleep health, as well as individual sleep health components, adjusting for covariates. Exploratory analyses stratified models by race/ethnicity. Results Higher depressive symptoms were associated with subsequent poorer multidimensional sleep health (p < .0.001) and lower alertness (p < .0001) and satisfaction with sleep (p < .0001). Conclusions Our finding that higher average depressive symptoms were associated longitudinally with actigraphy-measured poorer sleep health in midlife women is novel and converges with the larger body of evidence that these two common symptoms are strongly associated. The bidirectional relationship between these two prevalent symptoms needs to be studied in prospective longitudinal studies.

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Gutacker, Nils, and Andrew Street. "Multidimensional performance assessment of public sector organisations using dominance criteria." Health Economics 27, no. 2 (August 18, 2017): e13-e27. http://dx.doi.org/10.1002/hec.3554.

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Schopp, Laura H., Brick R. Johnstone, and Octave C. Merveille. "Multidimensional telecare strategies for rural residents with brain injury." Journal of Telemedicine and Telecare 6, no. 1_suppl (February 2000): 146–49. http://dx.doi.org/10.1258/1357633001934474.

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Rural residents with brain injury have difficulty in accessing care from qualified psychologists for consequent cognitive, emotional and behavioural symptoms. We examined high-quality videoconferencing to enhance care for persons with brain injury in three areas: cognitive assessment, psychotherapy and rural mental health training. The assessment study evaluated 52 outpatients seen for diagnostic visits over videoconferencing, and compared their experiences with those of 52 age- and diagnosis-matched controls seen in person. Persons seen via telemedicine were more likely than controls to want to repeat their experience and more satisfied than were the neuropsychologists who examined them. In the psychotherapy study, neurorehabilitation patients were seen via videoconferencing for therapy related to brain injury or stroke. Persons receiving psychotherapy were less likely than persons receiving assessment services to want to repeat their experience. In the training study, 39 rural mental health providers were trained via videoconferencing, and trainees demonstrated significant improvement on tests of knowledge about brain injury. Trainees formed a network of mental health provider referrals for persons with brain injury in a wide geographic area. Given adequate training and ongoing support, rural clinicians can treat many brain-injury adjustment issues locally, reserving specialist consultation for emergency or complex problems.

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Kiforenko, S., V. Belov, T. Hontar, V. Kozlovska, and T. Obelets. "Methodological Aspects of Using Normometrical Scaling for Multidimensional Assessment of Health Reserves." Kibernetika i vyčislitelʹnaâ tehnika 2022, no. 3(208) (October 15, 2022): 63–80. http://dx.doi.org/10.15407/kvt208.03.063.

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O'Rourke, Teresa, Rüdiger Pryss, Winfried Schlee, and Thomas Probst. "Development of a Multidimensional App-Quality Assessment Tool for Health-Related Apps (AQUA)." Digital Psychology 1, no. 2 (October 27, 2020): 13–23. http://dx.doi.org/10.24989/dp.v1i2.1816.

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Background A multitude of health-related mobile applications is available to the public in app stores. Many of these apps were not developed by health professionals and do not keep what they promise. To facilitate a safe handling and use of such apps, it is important to assess their quality in a standardized way. Some instruments for app quality assessment exist, although they have some limitations, which we want to improve on with this new assessment tool. Objectives The objective of this paper is to introduce a new multidimensional criteria-based tool for the quality assessment of health-related apps. Method Based on existing app-quality assessment tools and guidelines for evaluating health-related app-quality, items were constructed to assess objective and subjective app-quality. A pretest in form of cognitive testing was conducted with six participants and some items were optimized. Results An expert and a user version of AQUA were developed in English and German language. The expert version consists of 31 items in the seven dimensions Usability, User Engagement, Content, Visual Design, Therapeutic Quality, Security and Information. The user version consists of 34 items and additionally includes the dimension Impact. Conclusion AQUA is a brief multidimensional app-quality assessment tool that can be used for the quality assessment of health-related and mental health-related apps by experts and app-users.

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Reinardy, James R. "The Use of Multidimensional Assessment Instruments in Community-Based Care." Home Health Care Services Quarterly 16, no. 4 (March 16, 1998): 15–34. http://dx.doi.org/10.1300/j027v16n04_02.

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Gibson, Kathryn A., Isabel Castrejon, Joseph Descallar, and Theodore Pincus. "Fibromyalgia Assessment Screening Tool: Clues to Fibromyalgia on a Multidimensional Health Assessment Questionnaire for Routine Care." Journal of Rheumatology 47, no. 5 (September 1, 2019): 761–69. http://dx.doi.org/10.3899/jrheum.190277.

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Objective.To develop feasible indices as clues to comorbid fibromyalgia (FM) in routine care of patients with various rheumatic diseases based only on self-report multidimensional Health Assessment Questionnaire (MDHAQ) scores, which are informative in all rheumatic diagnoses studied.Methods.All patients with all diagnoses complete an MDHAQ at each visit; the 2011 FM criteria questionnaire was added to the standard MDHAQ between February 2013 and August 2016. The proportion of patients who met 2011 FM criteria or had a clinical diagnosis of FM was calculated. Individual candidate MDHAQ measures were compared to 2011 FM criteria using receiver-operating characteristic (ROC) curves; cutpoints to recognize FM were selected from the area under the curve (AUC) for optimal tradeoff between sensitivity and specificity. Cumulative indices of 3 or 4 MDHAQ measures were analyzed as fibromyalgia assessment screening tools (FAST).Results.In 148 patients, the highest AUC in ROC analyses versus 2011 FM criteria were seen for MDHAQ symptom checklist, self-report painful joint count, pain visual analog scale (VAS), and fatigue VAS. The optimal cutpoints were ≥ 16/60 for symptom checklist, ≥ 16/48 for self-report painful joint count, and ≥ 6/10 for both pain and fatigue VAS. Cumulative FAST indices of 2/3 or 3/4 MDHAQ measures correctly classified 89.4–91.7% of patients who met 2011 FM criteria.Conclusion.FAST3 and FAST4 cumulative indices from only MDHAQ scores correctly identify most patients who meet 2011 FM criteria. FAST indices can assist clinicians in routine care as clues to FM with a general rheumatology rather than FM-specific questionnaire.

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Endler, Norman S., and James D. A. Parker. "Assessment of multidimensional coping: Task, emotion, and avoidance strategies." Psychological Assessment 6, no. 1 (March 1994): 50–60. http://dx.doi.org/10.1037/1040-3590.6.1.50.

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Vatter, Sabina, Kathryn R. McDonald, Emma Stanmore, Linda Clare, and Iracema Leroi. "Multidimensional Care Burden in Parkinson-Related Dementia." Journal of Geriatric Psychiatry and Neurology 31, no. 6 (September 24, 2018): 319–28. http://dx.doi.org/10.1177/0891988718802104.

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Background and Objective: Providing care to people with Parkinson-related dementia (PwPRD) may result in significant stress, strain, and burden for life partners. A common measurement of life partner burden is the Zarit Burden Interview (ZBI), which considers “burden” as a unitary concept; however, burden is highly complex and most likely comprises several dimensions. This study aimed to explore the factor structure of the ZBI in life partners of PwPRD and to examine the relationships among the emerging factors and the demographic and clinical features. Methods: Life partners of PwPRD participated in home-based quantitative assessments and self-completed postal questionnaires. The assessment battery included ZBI, measures of relationship satisfaction, mood, stress, resilience, health, quality of life, feelings related to care provision, and sociodemographic questions. Data on PwPRDs’ motor and neuropsychiatric symptom severity were also elicited in home-based assessments. Results: An exploratory factor analysis (principal axis factoring) of ZBI, conducted with 127 life partners, revealed five burden dimensions: social and psychological constraints, personal strain, interference with personal life, concerns about future, and guilt. These burden factors were associated with lower relationship satisfaction, mental health, and resilience, and higher stress, anxiety, depression, resentment, negative strain, and PwPRD motor severity. In multiple linear regression analyses, where each factor score was the dependent variable, stress, negative strain, and resentment emerged as significant predictors of specific burden dimensions. Conclusions: Burden is a complex and multidimensional construct. Interventions should address specific types of burden among life partners of PwPRD to support couples’ relationships and maintain quality of life.

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Guo, Shuaijun, Xiaoming Yu, Elise Davis, Rebecca Armstrong, and Lucio Naccarella. "Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children." Children 9, no. 8 (July 28, 2022): 1128. http://dx.doi.org/10.3390/children9081128.

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Health literacy is a broad and multidimensional construct, making its measurement and conclusions inconsistent. This study aims to compare the patterning of health literacy using different assessment tools and examine their impact on children’s developmental outcomes. A cross-sectional study was conducted with 650 students in Years 7–9 from four secondary schools in Beijing. Health literacy was measured by the eight-item health literacy assessment tool (HLAT, score range 0–37), the six-item Newest Vital Sign (NVS, score range 0–6), and the 16-item Health Literacy Survey (HLS, score range 0–16). Based on Manganello’s health literacy framework, information on upstream factors (e.g., gender, ethnicity, socioeconomic status) and developmental outcomes (e.g., health-promoting behaviours, health service use, global health status) was collected. Overall, the average scores for health literacy were 26.34 ± 5.89, 3.64 ± 1.64, and 13.72 ± 2.94, respectively, for HLAT, NVS, and HLS. The distribution of health literacy varied by socio-demographics and individual characteristics except for gender, no matter which health literacy assessment tool was used. The magnitude of associations between health literacy, its upstream factors and developmental outcomes was greater when using three-domain instruments (HLAT and HLS) than using single-domain instruments (NVS). The approach to health literacy measurement will influence the conclusion. Using multidimensional assessment tools may better capture a child’s health literacy and contribute to the maximum efficiency and effectiveness of school-based health literacy interventions.

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Paré, Guy, Luigi Lepanto, David Aubry, and Claude Sicotte. "Toward a multidimensional assessment of picture archiving and communication system success." International Journal of Technology Assessment in Health Care 21, no. 4 (October 2005): 471–79. http://dx.doi.org/10.1017/s0266462305050658.

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Objectives: Based on a prevalent framework in the information systems field, this study proposes and describes an integrated model for evaluating picture archiving and communication system (PACS) success from multiple users' perspectives.Methods: Our study details the validation process of the proposed model at a large tertiary-care teaching hospital in Canada. Both qualitative and quantitative data were collected to assess the psychometric properties of the measurement instrument and test the research hypotheses.Results: Our findings clearly reveal that radiologists, technologists, and clinicians have different views regarding the factors influencing PACS success. For instance, the results for radiologists show that their concern with efficiency and productivity is best guaranteed by a system that is reliable and easy to use. Furthermore, that only perceived system usefulness influenced clinicians' satisfaction with PACS is a reflection of the primary impact that technology has on their work, namely, the ability to have instant access to images from any point in the hospital. Even though, overall, all three groups view the adoption of PACS positively, the mean scores indicate that radiologists and technologists seem to be more satisfied and their expectations to be met at a higher level than clinicians.Conclusions: We believe the measurement instruments developed in this study can be used as a diagnostic tool by project managers interested in better understanding the extent to which different groups of stakeholders perceive the deployment of PACS as being successful and how factors influencing perceptions of PACS success vary across user types.

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Nangle, Douglas W., and Rachel L. Grover. "Social Behavior and Condom Use Among Males: A Multidimensional Assessment." Journal of Sex Education and Therapy 26, no. 2 (June 2001): 90–99. http://dx.doi.org/10.1080/01614576.2001.11074388.

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Guillaume, S., C. Adoue, I. Jaussent, S. Beziat, F. Van den Eynde, E. Olié, and P. Courtet. "1338 – A multidimensional assessment of decision-making in anorexia-nervosa." European Psychiatry 28 (January 2013): 1. http://dx.doi.org/10.1016/s0924-9338(13)76387-9.

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Castro-Fornieles, J., I. Flamarique, I. Mendez, and S. Romero. "AS38-01 - Multidimensional assessment of suicidality in children and adolescents." European Psychiatry 27 (January 2012): 1. http://dx.doi.org/10.1016/s0924-9338(12)74056-7.

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Mendes, Luanne Cardoso, Isabela Alves Marques, Camille Marques Alves, Marcus Fraga Vieira, Edgard Afonso Lamounier Júnior, Adriano Alves Pereira, Eduardo Lázaro Martins Naves, et al. "Multidimensional Assessment of Individuals with Parkinson’s Disease: Development and Structure Validation of a Self-Assessment Questionnaire." Healthcare 10, no. 10 (September 21, 2022): 1823. http://dx.doi.org/10.3390/healthcare10101823.

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(1) Background: Several instruments are used to assess individuals with Parkinson’s disease (PD). However, most instruments necessitate the physical presence of a clinician for evaluation, were not designed for PD, nor validated for remote application. (2) Objectives: To develop and validate a self-assessment questionnaire that can be used remotely, and to assess the respondents’ health condition. (3) Methods: A questionnaire, so-called Multidimensional Assessment Questionnaire for Individuals with PD (MAQPD), was developed, administered remotely, and completed by 302 people with PD. MAQPD was validated using factor analysis (FA). The participants’ level of impairment was estimated using factor loadings. The scale’s accuracy was assessed estimating floor and ceiling effects and Cronbach’s alpha. (4) Results: FA suggested classifying the questions into daily activities, cognition, and pain. The respondents did not have extremely severe impairment (most scores ranged from 100 to 180 points), and the factors with the lowest scores were cognition and pain. The instrument had no significant floor or ceiling effects (rates less than 15%), and the Cronbach’s alpha value was larger than 0.90. (5) Conclusion: MAQPD is the only remote self-administered tool found in the literature capable of providing a detailed assessment of the general health status of individuals with PD.

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Paap, Muirne C. S., Sebastian Born, and Johan Braeken. "Measurement Efficiency for Fixed-Precision Multidimensional Computerized Adaptive Tests: Comparing Health Measurement and Educational Testing Using Example Banks." Applied Psychological Measurement 43, no. 1 (April 23, 2018): 68–83. http://dx.doi.org/10.1177/0146621618765719.

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It is currently not entirely clear to what degree the research on multidimensional computerized adaptive testing (CAT) conducted in the field of educational testing can be generalized to fields such as health assessment, where CAT design factors differ considerably from those typically used in educational testing. In this study, the impact of a number of important design factors on CAT performance is systematically evaluated, using realistic example item banks for two main scenarios: health assessment (polytomous items, small to medium item bank sizes, high discrimination parameters) and educational testing (dichotomous items, large item banks, small- to medium-sized discrimination parameters). Measurement efficiency is evaluated for both between-item multidimensional CATs and separate unidimensional CATs for each latent dimension. In this study, we focus on fixed-precision (variable-length) CATs because it is both feasible and desirable in health settings, but so far most research regarding CAT has focused on fixed-length testing. This study shows that the benefits associated with fixed-precision multidimensional CAT hold under a wide variety of circumstances.

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Ji, Zuzhen, Hongxin Su, Yuchen Wang, Yi Cao, and Shuanghua Yang. "Assessing the Risk of Hazards with Multidimensional Consequences for Industrial Processes." Processes 10, no. 6 (June 8, 2022): 1145. http://dx.doi.org/10.3390/pr10061145.

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Risk assessment plays an important role in process safety. The result of the assessment is used to determine risk priorities and then develop preventions to reduce risks. A hazard may have multidimensional consequences, including loss of health and safety, asset loss, and environmental damage. Traditionally, these multidimensional consequences are often measured disjointedly. A comprehensive risk assessment would be conducted by many professionals from multiple areas. Each of these professionals uses different indicators to evaluate risks. The poor integration among risk indicators further confuses managers in the risk resilience and prevention development. In addition, this lacks a solid method for assessing the risk of hazards that with multidimensional consequences. The aim of the work is to develop a risk-measuring instrument using a newly proposed approach, the Risk Assessment for Hazards with Multidimensional Consequences (RAMC), which is developed based on the theory of quality of life (QOL), a theory from health management. RAMC uses the ‘diminished quality of life in organization safety’ (DQLOS) as a risk indicator to represent the level of risk exposure. The main results of the work show that the method of RAMC and the indicator ‘DQLOS’ are able to support practitioners to assess the risk of a hazard with multidimensional consequences and could be used to deliver reasonable risk control priorities. A case study associated with the coal-to-methanol gasification process is discussed for RAMC’s application and validation. The case study result also indicates that the DQLOS has the potential to assist the industry to design safe process systems and develop ongoing improvements in safety.

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Hettige, Siri, and Richard Haigh. "An integrated social response to disasters: the case of the Indian Ocean tsunami in Sri Lanka." Disaster Prevention and Management: An International Journal 25, no. 5 (July 11, 2016): 595–610. http://dx.doi.org/10.1108/dpm-11-2015-0263.

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Purpose The impact of disasters caused by natural hazards on people in affected communities is mediated by a whole range of circumstances such as the intensity of the disaster, type and nature of the community affected and the nature of loss and displacement. The purpose of this paper is to demonstrate the need to adopt a holistic or integrated approach to assessment of the process of disaster recovery, and to develop a multidimensional assessment framework. Design/methodology/approach The study is designed as a novel qualitative assessment of the recovery process using qualitative data collection techniques from a sample of communities affected by the Indian Ocean tsunami in Eastern and Southern Sri Lanka. Findings The outcomes of the interventions have varied widely depending on such factors as the nature of the community, the nature of the intervention and the mode of delivery for donor support. The surveyed communities are ranked in terms of the nature and extent of recovery. Practical implications The indices of recovery developed constitute a convenient tool of measurement of effectiveness and limitations of external interventions. The assessment used is multidimensional and socially inclusive. Originality/value The approach adopted is new to post-disaster recovery assessments and is useful for monitoring and evaluation of recovery processes. It also fits into the social accountability model as the assessment is based on community experience with the recovery process.

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Da Costa, E., G. Jasso Mosqueda, H. Lemasson, B. Roche, A. Guerraoui, D. Aguilera, and A. Chicoye. "PDB27 A MULTIDIMENSIONAL HEALTH CARE INTERVENTION ASSESSMENT: THE CO-ORDINATED DIABETES HEALTHCARE NETWORK." Value in Health 7, no. 6 (November 2004): 743. http://dx.doi.org/10.1016/s1098-3015(10)65971-2.

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Anand, Paul, Laurence S. J. Roope, Anthony J. Culyer, and Ron Smith. "Disability and multidimensional quality of life: A capability approach to health status assessment." Health Economics 29, no. 7 (April 16, 2020): 748–65. http://dx.doi.org/10.1002/hec.4017.

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RAMELET, ANNE-SYLVIE, NANCY WILLIE REES, SUE MCDONALD, MAX K. BULSARA, and HUDA HUIJER ABU-SAAD. "Clinical validation of the Multidimensional Assessment of Pain Scale." Pediatric Anesthesia 17, no. 12 (December 2007): 1156–65. http://dx.doi.org/10.1111/j.1460-9592.2007.02325.x.

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Laget, Jacques, Caroline Sofia, Monique Bolognini, Bernard Plancherel, Olivier Halfon, and Philippe Stéphan. "Use of a multidimensional assessment tool in a psychiatric adolescent care unit." Journal of Evaluation in Clinical Practice 12, no. 5 (October 2006): 549–58. http://dx.doi.org/10.1111/j.1365-2753.2006.00669.x.

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Lewison, Grant, Graham Thornicroft, George Szmukler, and Michele Tansella. "Fair assessment of the merits of psychiatric research." British Journal of Psychiatry 190, no. 4 (April 2007): 314–18. http://dx.doi.org/10.1192/bjp.bp.106.024919.

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BackgroundUse of bibliometric assessments of research quality is growing worldwide. So far, a narrow range of metrics have been applied across the whole of biomedical research. Without specific sets of metrics, appropriate to each sub-field of research, biased assessments of research excellence are possible.AimsTo discuss the measures used to evaluate the merits of psychiatric biomedical research, and to propose a new approach using a multidimensional selection of metrics appropriate to each particular field of medical research.MethodThree steps: (a) a definition of scientific ‘domains', (b) translating these into ‘filters' to identify publications from bibliometric databases, leading to (c) the creation of standardised measures of merit.ResultsWe propose using: (a) established metrics such as impact factor: and citation indices, (b) new derived measures such as the ‘worldscale’ score, and (c) new indicators based on journal peer esteem, impact on clinical practice, medical education and health policy.ConclusionsNo single index or metric can be used as a fair rating to compare nations, universities, research groups, or individual investigators across biomedical science. Rather, we propose using a multidimensional profile composed of a carefully selected array of such metrics.

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Santos, Sara, Pedro Mota Veiga, and Constança Paúl. "The Perceived Risk of Hospitalization in Primary Health Care – The Importance of Multidimensional Assessment." Gerontology and Geriatric Medicine 7 (January 2021): 233372142110630. http://dx.doi.org/10.1177/23337214211063030.

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Ageing has increased the use of health services, with a corresponding rise in avoidable hospitalizations. We aimed to assess and characterize the perceived risk of hospitalization in primary health care (PHC). 118 individuals aged ≥65 years, PHC patients, were assessed using the Community Risk Assessment Instrument by their General Practitioner, who identified their perceived risk of hospitalization, at one year. The instrument is composed of three domains (mental state, daily living activities (ADLs) state and medical state). Multivariate logistic regression was used to identify the best model to predict the risk of hospitalization. Four models were estimated, one for each domain and one with all the variables of the instrument. 58.5% were identified as being at risk of hospitalization. The best predictive models are those that include functionality assessment variables (ADL model and Community Assessment of Risk Instrument model). The model that includes all the variables of three domains presents the best predictive value. Mobility problems (Odds Ratio (OR) 16.18 [CI: 1.63–160.53]), meal preparation (OR 10.93 [CI: 1.59–75.13]), communication (OR 6.91 [CI: 1.37–34.80]) and palliative care (OR 4.84 [CI: 1.14–20.58]) are the best predictors of hospitalization risk. The use of multidimensional assessment tools can allow the timely identification of people at risk, contributing to a reduction in hospitalizations.

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Краснов, А. А., Е. Ю. Абриталин, and А. И. Колчев. "Multidimensional Assessment of the Premorbid Period of Endogenous Mental Disorders." Психиатрия, психотерапия и клиническая психология, no. 4 (December 6, 2021): 603–11. http://dx.doi.org/10.34883/pi.2021.12.4.003.

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В статье проанализированы результаты многоосевой оценки доболезненного периода эндогенных психических расстройств (рубрики F2 и F3 по МКБ-10) 107 учащихся военных образовательных учреждений. Контрольную группу составили сопоставимые по возрасту психически здоровые учащиеся (239 человек). Оценка осуществлялась по нескольким диагностическим осям: феноменологической (структурированное исследование анамнеза), функциональной (тесты СМИЛ и «КР-3-85») и соматической (оценка структуры сопутствующей соматической патологии). Выявлено, что первичные доболезненные признаки имели место у 5,6% учащихся в подростковый период, у 32,7% отмечались нарушения в виде «поздних предвестников» незадолго до манифестации заболевания. Отмечено статистически значимое в сравнении с контрольной группой (χ2=53,13; р<0,001) увеличение случаев дисфункций вегетативной нервной системы у учащихся в доболезненный период эндогенных расстройств (31,8% и 3,6% соответственно), аллергической патологии (9,34% и 4,3%; χ2=4,24; р=0,039), патологических процессов, связанных с дисплазией соединительной ткани (54,2% и 12,6%; χ2=67,62, р<0,001), а также случаев мультиморбидности (двух и более соматических заболеваний) (42,1% и 9,6%; χ2=49,2; р<0,001). Функциональная оценка показала, что в доболезненный период в 22,8% наблюдений отмечались случаи превышения значений шкал СМИЛ в структуре базового профиля выше 70 баллов, преимущественно по шкалам Pd (импульсивность), Mf (мужественность/ женственность), Pa (паранойяльность), Sc (шизоидность). С помощью логистического регрессионного анализа создана модель прогноза развития эндогенных психических расстройств. The article analyzes the results of a multi-axis assessment of the endogenous mental disorders in the pre-disease period (headings F2 and F3 according to ICD-10) in 107 students of military educational institutions. The control group consisted of mentally healthy students (239 people) of comparableage. The assessment was performed according to several diagnostic axes: phenomenological (structured study of anamnesis), functional (tests MMPI and “KR – 3 – 85”), and somatic (assessment of the structure of comorbid somatic pathology). It revealed that primary premorbid signs are detected in 5.6% of students in adolescence, 32.7% students had the premorbid signs shortly before the onset of the disease. Statistically significant increase of the level of the autonomic nervous system dysfunctions in students in the premorbid period of endogenous disorders in comparison with the control group (31.8% and 3.6%, respectively) (χ2=53.13; p<0.001); allergic pathology (9.34% and 4.3%; χ2=4.24; p=0.039); pathological processes associated with connective tissue dysplasia (54.2% and 12.6%; χ2=67.62, p<0.001); cases of multimorbidity (two or more somatic diseases) (42.1% and 9.6%; χ2=49.2; p<0.001) were revealed. The functional assessment showed that in the premorbid period, in 22.8% of observations, there were cases of exceeding the values of the MMPI scales in the structure of the basic profile above 70 points, mainly on the scales Pd (impulsivity), Mf (masculinity/femininity), Pa (paranoia), Sc (schizophrenia). The prognosis model for the endogenous mental disorders development was created using logistic regression analysis.

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Morrison, Sean C., Laura A. Brown, and Alex S. Cohen. "A multidimensional assessment of social cognition in psychometrically defined schizotypy." Psychiatry Research 210, no. 3 (December 2013): 1014–19. http://dx.doi.org/10.1016/j.psychres.2013.08.020.

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Vrieze, Scott I., and William M. Grove. "Multidimensional assessment of criminal recidivism: Problems, pitfalls, and proposed solutions." Psychological Assessment 22, no. 2 (June 2010): 382–95. http://dx.doi.org/10.1037/a0019228.

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Tarullo, Amanda R., Charu T. Tuladhar, Katie Kao, Eleanor B. Drury, and Jerrold Meyer. "Cortisol and socioeconomic status in early childhood: A multidimensional assessment." Development and Psychopathology 32, no. 5 (December 2020): 1876–87. http://dx.doi.org/10.1017/s0954579420001315.

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AbstractThe hypothalamic–pituitary–adrenal (HPA) axis is sensitive to early life stress, with enduring consequences for biological stress vulnerability and health (Gunnar & Talge, 2008). Low socioeconomic status (SES) is associated with dysregulation of the stress hormone cortisol in early childhood. However, a mechanistic understanding of this association is lacking. Multidimensional assessment of both SES and cortisol is needed to characterize the intricate relations between SES and cortisol function in early childhood. We assessed parent-reported family income, parent education, occupational prestige, neighborhood risk, food insecurity, and household chaos for 12-month-old infants (N = 90) and 3.5-year-old children (N = 91). Hair cortisol concentration (HCC) was obtained from parent and child, indexing chronic biological stress, and diurnal salivary cortisol was measured in the children. Controlling for parent HCC, parent education uniquely predicted infant and child HCC and, in addition, neighborhood risk uniquely predicted infant HCC. Household chaos predicted bedtime salivary cortisol concentration (SCC) for both infants and children, and infant daily cortisol output. Food insecurity was associated with flattened cortisol slope in 3.5-year-old children. Parental sensitivity did not mediate relations between SES and cortisol. Results highlight the utility of SES measures that index unpredictable and unsafe contexts, such as neighborhood risk, food insecurity, and household chaos.

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Cauley, Jane, Stephanie Harrison, Peggy Cawthon, Andrew Kubala, Kristine Ensrud, Carolyn Crandall, Daniel Buysse, and Katie Stone. "MULTIDIMENSIONAL SLEEP HEALTH AND RECURRENT FALLS: THE OSTEOPOROTIC FRACTURES IN MEN STUDY (MROS)." Innovation in Aging 6, Supplement_1 (November 1, 2022): 296. http://dx.doi.org/10.1093/geroni/igac059.1175.

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Abstract Prospective studies have reported associations between individual dimensions of sleep and subsequent falls. Considering sleep as a multidimensional construct may provide a more comprehensive assessment. Using data from the MrOS Sleep study, we calculated a multidimensional index of sleep, operationalized as the number of disturbances in 5 dimensions of sleep (self-reported “poor”: satisfaction, duration, daytime sleepiness, latency and sleep midpoint) and categorized as: 0, 1-2, >=3. A total of 3111 men, mean age 76.4 years, were studied. Logistic regression generalized estimating equations were used to model repeated measures of annually self-reported recurrent falls (≥2 falls) over 4 years of follow-up. Compared to men with no poor sleep dimensions, the Odds Ratio (OR) of recurrent falls in men with scores of 1 or 2 was 1.13 (95% Confidence Intervals, 0.96, 1.34), and in men with scores >3, the OR was 1.46(1.15, 1.84). Worse multidimensional sleep health was associated with recurrent falls.

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Brown, Nick, and Monica Doshi. "Assessing professional and clinical competence: the way forward†." Advances in Psychiatric Treatment 12, no. 2 (March 2006): 81–89. http://dx.doi.org/10.1192/apt.12.2.81.

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Recent developments in postgraduate medical education for the training of junior doctors in the UK necessitate changes in all parts of the curriculum, including the assessment system. There is a move away from the limited, traditional one-off assessment towards multidimensional, broader assessments of a doctor's longer-term performance. This is accompanied by the rapid development of assessment tools, collectively termed workplace-based assessments, and is in keeping with an outcome-based approach to medical education and its increasing professionalisation. In addition to clinical skills, other aspects of being a good practitioner are being assessed, including team-working, working with colleagues and patients, probity and communication skills. Using a combination of tools gives the assessment process high validity. Of the many challenges posed by these changes is the need for data on their reliability in psychiatry. There must be a clear process for applying assessments, national standardisation and training for those using asessment tools.

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Perry, Susan B., and Patricia A. Downey. "Fracture Risk and Prevention: A Multidimensional Approach." Physical Therapy 92, no. 1 (January 1, 2012): 164–78. http://dx.doi.org/10.2522/ptj.20100383.

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Although physical therapists commonly manage neuromusculoskeletal disorders and injuries, their scope of practice also includes prevention and wellness. In particular, this perspective article proposes that physical therapists are well positioned to address the client's skeletal health by incorporating fracture prevention into clinical practice with all adults. Fracture prevention consists primarily of maximizing bone strength and preventing falls. Both of these initiatives require an evidence-based, multidimensional approach that customizes interventions based on an individual's medical history, risk factors, and personal goals. The purposes of this perspective article are: (1) to review the role of exercise and nutrition in bone health and disease; (2) to introduce the use of the Fracture Risk Assessment Tool (FRAX®) into physical therapist practice; (3) to review the causes and prevention of falls; and (4) to propose a role for the physical therapist in promotion of bone health for all adult clients, ideally to help prevent fractures and their potentially devastating sequelae.

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Pincus, Theodore, Christopher Swearingen, and Frederick Wolfe. "Toward a multidimensional health assessment questionnaire (MDHAQ): Assessment of advanced activities of daily living and psychological status in the patient-friendly health assessment questionnaire format." Arthritis & Rheumatism 42, no. 10 (October 1999): 2220–30. http://dx.doi.org/10.1002/1529-0131(199910)42:10<2220::aid-anr26>3.0.co;2-5.

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Ewing-Cobbs, Linda, Mary Prasad, Jack M. Fletcher, Harvey S. Levin, Michael E. Miner, and Howard M. Eisenberg. "Attention After Pediatric Traumatic Brain Injury: A Multidimensional Assessment." Child Neuropsychology 4, no. 1 (April 1998): 35–48. http://dx.doi.org/10.1076/chin.4.1.35.3194.

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Ferreira, Elton C., Maria Laura Costa, Rodolfo C. Pacagnella, Carla Silveira, Carla B. Andreucci, Dulce Maria Toledo Zanardi, Juliana P. Santos, et al. "Multidimensional assessment of women after severe maternal morbidity: the COMMAG cohort study." BMJ Open 10, no. 12 (December 2020): e041138. http://dx.doi.org/10.1136/bmjopen-2020-041138.

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ObjectivesTo perform a multidimensional assessment of women who experienced severe maternal morbidity (SMM) and its short-term and medium-term impact on the lives and health of women and their children.DesignA retrospective cohort study.SettingA tertiary maternity hospital from the southeast region of Brazil.ParticipantsThe exposed population was selected from intensive care unit admissions if presenting any diagnostic criteria for SMM. Controls were randomly selected among women without SMM admitted to the same maternity and same time of childbirth.Primary and secondary outcome variablesValidated tools were applied, addressing post-traumatic stress disorder (PTSD) and quality of life (SF-36) by phone, and then general and reproductive health, functioning (WHO Disability Assessment Schedule), sexual function (Female Sexual Function Index (FSFI)), substance abuse (Alcohol, Smoking and Substance Involvement Screening Test 2.0) and growth/development (Denver Developmental Screening Test) of children born in the index pregnancy in a face-to-face interview.ResultsAll instruments were applied to 638 women (315 had SMM; 323 were controls, with the assessment of 264 and 307 children, respectively). SF-36 score was significantly lower in the SMM group, while PTSD score was similar between groups. Women who had SMM became more frequently sterile, had more abnormal clinical conditions after the index pregnancy and a higher score for altered functioning, while proportions of FSFI score or any drug use were similar between groups. Furthermore, children from the SMM group were more likely to have weight (threefold) and height (1.5 fold) for age deficits and also impaired development (1.5-fold).ConclusionSMM impairs some aspects of the lives of women and their children. The focus should be directed towards monitoring these women and their children after birth, ensuring accessibility to health services and reducing short-term and medium-term repercussions on physical, reproductive and psychosocial health.

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Marlowe, Douglas B., Elizabeth P. Merikle, Kimberly C. Kirby, David S. Festinger, and A. Thomas McLellan. "Multidimensional assessment of perceived treatment-entry pressures among substance abusers." Psychology of Addictive Behaviors 15, no. 2 (June 2001): 97–108. http://dx.doi.org/10.1037/0893-164x.15.2.97.

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Schmukler, Juan, Shakeel Jamal, Isabel Castrejon, Joel A. Block, and Theodore Pincus. "Fibromyalgia Assessment Screening Tools (FAST) Based on Only Multidimensional Health Assessment Questionnaire (MDHAQ) Scores as Clues to Fibromyalgia." ACR Open Rheumatology 1, no. 8 (August 22, 2019): 516–25. http://dx.doi.org/10.1002/acr2.11053.

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McDonald, V. M., J. L. Simpson, I. Higgins, and P. G. Gibson. "Multidimensional assessment of older people with asthma and COPD: clinical management and health status." Age and Ageing 40, no. 1 (November 17, 2010): 42–49. http://dx.doi.org/10.1093/ageing/afq134.

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Ai, Li. "Artificial Intelligence System for College Students’ Physical Fitness and Health Management Based on Physical Measurement Big Data." Wireless Communications and Mobile Computing 2021 (September 20, 2021): 1–10. http://dx.doi.org/10.1155/2021/4727340.

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Most of the current health management products are used in medical institutions and generally do not pay enough attention to the student population. Based on this, this paper designs a student-oriented and functional autonomous health management system. This paper proposes a personal health management system based on a multidimensional data model based on the main social characteristics of the population with chronic diseases and the actual needs of personal health management for chronic diseases. The value of various health data for health management is deeply analyzed and mined, and a multidimensional model data warehouse is constructed according to relevant national health data standards to create a standard data platform for intelligent health warning and disease risk assessment. This paper researches and designs a closed-loop personal health management method based on the Plan-Do-Check-Action (PDCA) cycle management model, with detailed functional design in four aspects: health data collection and recording, health assessment, health planning, and tracking and execution. This paper researches health data collection, processing, and storage technologies and adopts HDFS data storage technology, html, css, Java Script, java, and other software development technologies, combined with j Query, UEditor, Date Range Picker, and other plug-ins, as well as SMS email generation interface, wireless Bluetooth transmission interface, etc. This system web and mobile application platforms are designed and developed. Relational database is used as the system database, and a snowflake-type multidimensional data model is designed. Finally, the functions and performance of this system were tested, and the development and trial run of the basic version have been completed.

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