scholarly journals Integration of symptom ratings from multiple informants in ADHD diagnosis: A psychometric model with clinical utility.

2015 ◽  
Vol 27 (3) ◽  
pp. 1060-1071 ◽  
Author(s):  
Michelle M. Martel ◽  
Ulrich Schimmack ◽  
Molly Nikolas ◽  
Joel T. Nigg
Keyword(s):  
Clinical Utility ◽  
Multiple Informants ◽  
Adhd Diagnosis ◽  
Symptom Ratings ◽  
Psychometric Model

Clinical Utility and Predictive Validity of Parent and College Student Symptom Ratings in Predicting an ADHD Diagnosis

2016 ◽  
Vol 72 (4) ◽  
pp. 401-418 ◽  
Author(s):  
Melissa R. Dvorsky ◽  
Joshua M. Langberg ◽  
Stephen J. Molitor ◽  
Elizaveta Bourchtein
Keyword(s):  
College Student ◽  
Predictive Validity ◽  
Clinical Utility ◽  
Adhd Diagnosis ◽  
Symptom Ratings

eHealth tools that assess and track health and wellbeing in children and young people: A systematic review (Preprint)

2020 ◽  
Author(s):  
Elizabeth Stewart ◽  
Alyssa Clare Milton ◽  
Hannah Yee ◽  
Michael Song ◽  
Anna Roberts ◽  
...  
Keyword(s):  
Young People ◽  
Health Service ◽  
Service Delivery ◽  
Clinical Utility ◽  
Clinical Care ◽  
Health Service Delivery ◽  
Multiple Informants ◽  
Secondary Outcome ◽  
Health Domains ◽  
Over Time

BACKGROUND eHealth tools that assess and track health outcomes in children/young people are an emerging type of technology that have the potential to reform health service delivery and facilitate integrated, interdisciplinary care. OBJECTIVE The aim of this review was to summarise eHealth tools that have assessed and/or tracked health in children/young people to provide greater clarity around the: populations and settings in which they have been used; characteristics of digital devices (e.g. health domains, respondent, presence of tracking, connection to care); primary outcomes; and risks and challenges of implementation. METHODS A search was conducted in PsycINFO, PubMed/MEDLINE and EMBASE in April 2020. Studies were included if they evaluated a digital device of which the primary purpose was to assess and/or track health, focused on children/young people (birth-24 years), reported original research and were published in peer reviewed journals in English. RESULTS Thirty-nine papers were included in the review. Sample sizes ranged from 7 to 149,329 participants (median=163, mean=5,155). More studies were conducted in urban (46.2%, 18/39) than rural (7.7%, 3/39) regions or a combination of urban and rural areas (20.5%, 8/39); devices were implemented in 3 main settings: outpatient health clinics (30.8%, 12/39), hospitals (35.9%, 14/39), community outreach (25.6%, 10/39), or a combination of these settings (7.7%, 3/39). Mental and general health were the most common health domains assessed, with a single study assessing multiple health domains. Just under half of devices tracked children’s health over time (41.0%, 16/39) and two-thirds (64.1%, 25/39) connected children/young people to clinical care. It was more common for information to be collected from a single informant (i.e. the child/young person, trained health worker, clinician, parent/caregiver) than from multiple informants. The health of children/young people was assessed as a primary or secondary outcome in 14/39 studies (35.9%); however, only 1 study assessed whether using the digital tool improved the health of users. Most papers reported early phase research (formative or process evaluations), with fewer outcome evaluations and just 3 randomised controlled trials. Challenges/risks identified related to accessibility, clinical utility and safety, uptake, data quality, user interface/design aspects of the device, language/literacy, socio-cultural barriers and privacy/confidentiality concerns; ways to address these barriers were not thoroughly explored. CONCLUSIONS eHealth tools that assess and/or track health in children/young people have the potential to enhance health service delivery; however, a strong evidence base validating the clinical utility, efficacy and safety of tools is lacking and more thorough investigation is needed to address risks and challenges of using these emerging technologies in clinical care. At present, there is greater potential for the tools to facilitate multi-informant, multi-domain assessments and longitudinally track health over time and room for further implementation in rural/remote regions and community settings around the world.

Type V Bekesy Pattern: Interpretation and Clinical Utility

1967 ◽  
Vol 10 (4) ◽  
pp. 733-744 ◽  
Author(s):  
William F. Rintelmann ◽  
Earl R. Harford
Keyword(s):  
Clinical Utility ◽  
The Past ◽  
Type V ◽  
Clinical Cases

Recent studies indicate there is some disagreement concerning the interpretation and clinical utility of the Type V Bekesy pattern. Bekesy tracings obtained over the past six years from a sample of clinical cases were analyzed and a definition was established for the Type V pattern. This definition was applied to Bekesy tracings obtained from normal listeners, hypoacusics, and pseudohypoacusics. The Type V pattern was found frequently among pseudohypoacusics and only rarely among other individuals.

“I Can See What You’re Saying”: Clinical Utility of Spectral Moment Analysis

2011 ◽  
Vol 21 (2) ◽  
pp. 44-54
Author(s):  
Kerry Callahan Mandulak
Keyword(s):  
Speech Production ◽  
Speech Signal ◽  
Clinical Utility ◽  
Acoustic Analysis ◽  
Moment Analysis ◽  
Analysis Tool ◽  
Spectral Moment ◽  
Clinical Measure ◽  
Perceptual Analysis ◽  
Disordered Speech

Spectral moment analysis (SMA) is an acoustic analysis tool that shows promise for enhancing our understanding of normal and disordered speech production. It can augment auditory-perceptual analysis used to investigate differences across speakers and groups and can provide unique information regarding specific aspects of the speech signal. The purpose of this paper is to illustrate the utility of SMA as a clinical measure for both clinical speech production assessment and research applications documenting speech outcome measurements. Although acoustic analysis has become more readily available and accessible, clinicians need training with, and exposure to, acoustic analysis methods in order to integrate them into traditional methods used to assess speech production.

Staring Down Death

Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 212-217 ◽  
Author(s):  
Thomas E. Joiner ◽  
Melanie A. Hom ◽  
Megan L. Rogers ◽  
Carol Chu ◽  
Ian H. Stanley ◽  
...  
Keyword(s):  
Suicide Risk ◽  
Clinical Utility ◽  
Blink Rate ◽  
Specific Task ◽  
Careful Planning ◽  
Eye Blink ◽  
Eye Blinks ◽  
Potential Clinical Utility ◽  
The Relationship

Abstract. Background: Lowered eye blink rate may be a clinically useful indicator of acute, imminent, and severe suicide risk. Diminished eye blink rates are often seen among individuals engaged in heightened concentration on a specific task that requires careful planning and attention. Indeed, overcoming one’s biological instinct for survival through suicide necessitates premeditation and concentration; thus, a diminished eye blink rate may signal imminent suicidality. Aims: This article aims to spur research and clinical inquiry into the role of eye blinks as an indicator of acute suicide risk. Method: Literature relevant to the potential connection between eye blink rate and suicidality was reviewed and synthesized. Results: Anecdotal, cognitive, neurological, and conceptual support for the relationship between decreased blink rate and suicide risk is outlined. Conclusion: Given that eye blinks are a highly observable behavior, the potential clinical utility of using eye blink rate as a marker of suicide risk is immense. Research is warranted to explore the association between eye blink rate and acute suicide risk.

Recent Developments in the Assessment and Diagnosis of Child Psychopathology

1995 ◽  
Vol 11 (3) ◽  
pp. 203-212 ◽  
Author(s):  
Frank C. Verhulst
Keyword(s):  
Problem Behaviors ◽  
Child Psychopathology ◽  
Developmental Differences ◽  
Multiple Informants ◽  
Cultural Research ◽  
Assessment Approach ◽  
Multicultural Knowledge ◽  
Recent Developments ◽  
Basic Characteristics ◽  
Assessment And Diagnosis

In this article, recent developments in the assessment and diagnosis of child psychopathology are discussed with an emphasis on standardized methodologies that provide data that can be scored on empirically derived groupings of problems that tend to co-occur. Assessment methodologies are highlighted that especially take account of the following three basic characteristics of child psychopathology: (1) the quantitative nature of child psychopathology; (2) the role of developmental differences in the occurrence of problem behaviors, and (3) the need for multiple informants. Cross-cultural research is needed to test the applicability of assessment procedures across different settings as well as the generalizability of taxonomic constructs. Assessments of children in different cultures can be compared or pooled to arrive at a multicultural knowledge base which may be much stronger than knowledge based on only one culture. It is essential to avoid assuming that data from any single source reveal the significance of particular problems. Instead, comprehensive assessment of psychopathology requires coordination of multisource data using a multiaxial assessment approach.

Inhibitory Measures of Attention as a Potential Tool for ADHD Diagnosis

1999 ◽  
Author(s):  
Heather Droste ◽  
Michelle Pattavina ◽  
Chris Smith ◽  
Robert Tigner
Keyword(s):  
Adhd Diagnosis ◽  
Potential Tool
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