scholarly journals EVALUATING THE CLINICAL USE OF A SCREENING TOOL TO IDENTIFY PRIORITY POPULATIONS REFERRED FOR DEVELOPMENTAL ASSESSMENTS

2020 ◽  
Vol 56 (S2) ◽  
pp. 20-21
Keyword(s):  
Screening Tool ◽  
Clinical Use ◽  
Priority Populations ◽  
Developmental Assessments

scholarly journals Pragmatic Sensory Screening in Anorexia Nervosa and Associations with Autistic Traits

2020 ◽  
Vol 9 (4) ◽  
pp. 1182 ◽  
Author(s):  
Emma Kinnaird ◽  
Yasemin Dandil ◽  
Zhuo Li ◽  
Katherine Smith ◽  
Caroline Pimblett ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Screening Tool ◽  
Psychometric Evaluation ◽  
Autistic Traits ◽  
Future Research ◽  
Clinical Use ◽  
Sensory Sensitivity ◽  
Qualitative Feedback ◽  
Expérience Subjective ◽  
Brief Screening

Background: Research suggests that people with anorexia nervosa (AN) experience subjective hypersensitivity to external sensations that may require consideration in treatment. These difficulties may be particularly pronounced in people with AN and high autistic traits. The purpose of this pilot study was to explore the use of a brief screening tool to assess sensory sensitivity in individuals receiving treatment for AN, and to assess if self-rated sensitivity in AN is related to autistic traits. Methods: 47 individuals receiving treatment for AN completed a brief sensory screening tool and self-rated their autistic traits. Individuals were also asked to give qualitative feedback on the screening tool. Results: People with AN and high autistic traits rated themselves as more hypersensitive compared to people with AN and low autistic traits. Feedback surrounding the use of the screener was positive. Conclusions: The results of this study suggest that the use of this screener may be beneficial in eating disorder settings to help adjust and calibrate treatment to personal needs, although further research and psychometric evaluation around the clinical use of the screener is required. The finding that people with AN and high autistic traits may experience elevated hypersensitivity also warrants further exploration in future research.

scholarly journals VALIDITY OF PARENT-COMPLETED DEVELOPMENTAL SCREENING IN CHILDREN WITH NEW-ONSET EPILEPSY BELOW THE AGE OF 3

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e51-e52
Author(s):  
Madelyn Barton ◽  
Marie-Noëlle Simard ◽  
Sandra Reiter-Campeau ◽  
Genevieve Lupien ◽  
Marie-Pierre Lamothe ◽  
...  
Keyword(s):  
High Risk ◽  
Predictive Value ◽  
Early Onset ◽  
Screening Tool ◽  
Screening Tools ◽  
Developmental Screening ◽  
Rehabilitation Services ◽  
New Onset ◽  
Developmental Assessments ◽  
Developmental Screening Tool

Abstract BACKGROUND Infants with childhood-onset epilepsies, including epileptic encephalopathies, are at high risk of developmental challenges such as motor and language delays. There has been a growing focus on developmental screening instruments due to the association between delayed development and long-term adverse outcomes, including negative impacts on health-related quality of life, school achievement and social participation. Therefore, children with developmental delays should be referred as early as possible to rehabilitation services such as occupational, physical, or speech therapy. Developmental screening using standardized tools is recommended in order to identify the high-risk children that require additional developmental assessments. The Ages and Stages Questionnaires (ASQ), a parent-completed developmental screening tool, is one of the more cited and recommended developmental screening tools. However, its utility in children with early-onset epilepsy has yet to be validated. OBJECTIVES This study aimed to determine the validity of the ASQ for identifying children with new-onset epilepsy who require further professional developmental rehabilitation. DESIGN/METHODS Fifty infants (25 males) with seizure onset under 3 years of age were prospectively recruited. Parents completed the ASQ-3 before the first clinic appointment. The ASQ-3 evaluates 5 domains of development. An ASQ score below 2 standard deviations (SD) on any one of the domains was considered abnormal. Once completed, all infants were evaluated by a multidisciplinary team including neurologists, occupational therapists, and physical therapists to determine if they should be referred for further rehabilitation interventions. Accuracy of the ASQ was calculated in terms of sensibility, specificity, positive predictive value (PPV) and negative predictive value (NPV). RESULTS Mean age at the initial evaluation was 13.1 months (SD=8.22). Among the 50 infants, 36 (72%) received a score <-2 SD in at least one domain of the ASQ and 43 (86%) were referred for further rehabilitation services after the multidisciplinary assessment. The ASQ had a sensitivity of 81%, a specificity of 71%, a PPV of 93% and a NPV of 36% in identifying children with new-onset epilepsy who would require further rehabilitation services. CONCLUSION The ASQ, a well-known parent-completed developmental screening tool, when abnormal shows adequate validity for the identification of children with early-onset epilepsy who require developmental assessments and interventions by rehabilitation professionals. Our results also provide further evidence that development delay is the rule rather than the exception in infants with new onset epilepsy.

Assessing Functional Language in School-Aged Children Using Language Sample Analysis

2020 ◽  
Vol 5 (3) ◽  
pp. 622-636
Author(s):  
John Heilmann ◽  
Alexander Tucci ◽  
Elena Plante ◽  
Jon F. Miller
Keyword(s):  
Computer Hardware ◽  
School Age Children ◽  
Functional Language ◽  
School Age ◽  
Clinical Use ◽  
Sample Analysis ◽  
Validity And Reliability ◽  
Language Sample Analysis ◽  
Accuracy And Repeatability ◽  
Language Sample

Purpose The goal of this clinical focus article is to illustrate how speech-language pathologists can document the functional language of school-age children using language sample analysis (LSA). Advances in computer hardware and software are detailed making LSA more accessible for clinical use. Method This clinical focus article illustrates how documenting school-age student's communicative functioning is central to comprehensive assessment and how using LSA can meet multiple needs within this assessment. LSA can document students' meaningful participation in their daily life through assessment of their language used during everyday tasks. The many advances in computerized LSA are detailed with a primary focus on the Systematic Analysis of Language Transcripts (Miller & Iglesias, 2019). The LSA process is reviewed detailing the steps necessary for computers to calculate word, morpheme, utterance, and discourse features of functional language. Conclusion These advances in computer technology and software development have made LSA clinically feasible through standardized elicitation and transcription methods that improve accuracy and repeatability. In addition to improved accuracy, validity, and reliability of LSA, databases of typical speakers to document status and automated report writing more than justify the time required. Software now provides many innovations that make LSA simpler and more accessible for clinical use. Supplemental Material https://doi.org/10.23641/asha.12456719

Translation Research for the Rehabilitation of Left Spatial Neglect and Associated Disorders of Attention in Stroke Patients

2008 ◽  
Vol 18 (2) ◽  
pp. 55-65 ◽  
Author(s):  
Nkiruka Arene ◽  
Argye E. Hillis
Keyword(s):  
Theoretical Basis ◽  
Attention Bias ◽  
Spatial Neglect ◽  
Clinical Use ◽  
Stroke Patients ◽  
Translation Research ◽  
Unilateral Neglect ◽  
Assessment And Treatment ◽  
Sound Theoretical Basis ◽  
Review Current

Abstract The syndrome of unilateral neglect, typified by a lateralized attention bias and neglect of contralateral space, is an important cause of morbidity and disability after a stroke. In this review, we discuss the challenges that face researchers attempting to elucidate the mechanisms and effectiveness of rehabilitation treatments. The neglect syndrome is a heterogeneous disorder, and it is not clear which of its symptoms cause ongoing disability. We review current methods of neglect assessment and propose logical approaches to selecting treatments, while acknowledging that further study is still needed before some of these approaches can be translated into routine clinical use. We conclude with systems-level suggestions for hypothesis development that would hopefully form a sound theoretical basis for future approaches to the assessment and treatment of neglect.

Triumphs and Challenges of Implementing a Nursing Bedside Swallow Screening Tool: A Stroke Coordinator's Perspective

2009 ◽  
Vol 18 (4) ◽  
pp. 129-133 ◽  
Author(s):  
Kelly Poskus
Keyword(s):  
Screening Tool ◽  
Hospital Setting ◽  
Swallow Screening

Abstract The bedside swallow screen has become an essential part of the evaluation of a patient after stroke in the hospital setting. Implementing this type of tool should be simple. However, reinforcement and monitoring of the tool presents a challenge. Verifying the consistency and reliability of nurses performing the bedside swallow screen can be a difficult task. This article will document the journey of implementing and maintaining a reliable and valid nursing bedside swallow screen.

The Clinical use of A Water-Chloride Balance Technic

1951 ◽  
Vol 35 (4) ◽  
pp. 1113-1127
Author(s):  
Cliffqrd F. Gastineau ◽  
Belding H. Scribner
Keyword(s):  
Clinical Use

Clinical use of viable frozen human skin

JAMA ◽  
1965 ◽  
Vol 194 (2) ◽  
pp. 149-151 ◽  
Author(s):  
R. B. Berggren
Keyword(s):  
Human Skin ◽  
Clinical Use
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