scholarly journals Quantifying Self-Report Measures' Overestimation of Mobility Scores Postarthroplasty

2010 ◽  
Vol 90 (9) ◽  
pp. 1288-1296 ◽  
Author(s):  
Paul W. Stratford ◽  
Deborah M. Kennedy ◽  
Monica R. Maly ◽  
Norma J. MacIntyre
Keyword(s):  
Performance Measures ◽  
Secondary Analysis ◽  
Primary Total Knee Arthroplasty ◽  
Important Change ◽  
Performance Measure ◽  
Self Report ◽  
Before And After ◽  
The Difference ◽  
And Performance ◽  
The Relationship

Background Self-reports of function may systematically overestimate the ability of patients to move around postarthroplasty. Objective The purpose of this study was to estimate the magnitude of systematic differences in Lower Extremity Functional Scale (LEFS) and Western Ontario and McMaster Universities Osteoarthritis Index physical function subscale (WOMAC-PF) scores before and after primary total knee arthroplasty (TKA) or total hip arthroplasty (THA) by referencing the values to Six-Minute Walk Test (6MWT) distances and Timed “Up & Go” Test (TUG) times. Design This study was a secondary analysis of data from a prospective cohort study. Methods The LEFS, WOMAC, 6MWT, and TUG were administered to 85 patients prearthroplasty and once at 9 to 13 weeks postarthroplasty. Regression analysis was applied using a robust error term for clustered data. With the self-report measures as dependent variables and performance measures, occasion (prearthroplasty or postarthroplasty), and performance measure-by-occasion as independent variables, 3 propositions were examined: (1) the relationship between self-report and performance measures is identical prearthroplasty and postarthroplasty (ie, regression lines are coincident); (2) the relationship differs between occasions, but is consistent (ie, regression lines are parallel); (3) the relationship is not consistent (ie, the regression lines are not parallel). Results For all analyses, the results supported the second proposition (ie, the relationship differed between occasions, but was consistent). The systematic differences varied by location of arthroplasty, but were similar for both performance tests. For the LEFS, the difference was approximately 11 points for patients who received TKA and 13 points for patients who received THA. For the WOMAC-PF, the difference was approximately 12 points for patients who received TKA and 19 points for patients who received THA. These differences exceed the minimal clinically important change for an individual patient. Limitations The findings are specific to 9 to 13 weeks postarthroplasty. Conclusion Dependence on scores of self-report measures alone, without knowledge of the magnitude of the identified systematic differences, will result in overestimating the ability of patients to move around postarthroplasty.

The Arousal-Performance Relationship: Task Characteristics and Performance Measures in Track and Field Athletics

1988 ◽  
Vol 2 (1) ◽  
pp. 13-27 ◽  
Author(s):  
Vicki Ebbeck ◽  
Maureen R. Weiss
Keyword(s):  
Performance Measures ◽  
Task Complexity ◽  
Performance Measure ◽  
Track And Field ◽  
High School Athletes ◽  
Maximal Performance ◽  
And Performance ◽  
Performance Results ◽  
The Relationship

Two issues regarding the arousal-performance relationship in sport were addressed in this study: the relationship between task complexity, optimal arousal, and maximal performance, and the appropriateness of using various measures of performance. Data were collected from high school athletes (n=51) across four track and field meets. State anxiety was obtained prior to each performance and three performance measures were obtained (event results, and quality of performance evaluated by the athlete and by the coach). Results indicated that the three performance measures were not equally related to A-state, suggesting that the relationship between arousal and performance results in a different description depending upon the performance measure that is used. Furthermore, degree of task complexity could not be distinguished across various track and field events. When individual events were used to examine the arousal-performance/task complexity relationship, results revealed that level of A-state needed for maximal performance could not be differentiated for specific events, nor could it be determined for above average, average, or below average performances on any one event.

scholarly journals Physical Functioning Before and After Total Hip Arthroplasty: Perception and Performance

2008 ◽  
Vol 88 (6) ◽  
pp. 712-719 ◽  
Author(s):  
Inge van den Akker-Scheek ◽  
Wiebren Zijlstra ◽  
Johan W Groothoff ◽  
Sjoerd K Bulstra ◽  
Martin Stevens
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Physical Functioning ◽  
Self Report ◽  
Total Hip ◽  
Pain Subscale ◽  
Before And After ◽  
And Performance ◽  
The Relationship ◽  
Over Time

Background and Purpose Self-report and performance-based measures of physical functioning in people before and after total hip arthroplasty seem to present different information. The relationship between these different measures is not well understood, and little information is available about changes in this relationship over time. The aims of this study were: (1) to determine the relationship between self-report and performance-based measures of physical functioning before and after total hip arthroplasty, (2) to assess the influence of pain on the relationship, and (3) to determine whether the relationship changes over time. Subjects and Methods Seventy-five subjects admitted for total hip arthroplasty were included and examined before and 6 and 26 weeks after surgery. The relationships between the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical functioning subscale and walking speed and gait variability were examined by use of generalized estimating equations, which included interactions with time and the WOMAC pain subscale. Results The relationship between self-report and performance-based measures of physical functioning was poor. Pain appeared to have a considerable influence on self-reported physical functioning. The relationship did not appear to change over time. Discussion and Conclusion The influence of pain on self-reported physical functioning serves as an explanation for the poor relationship between self-reported and performance-based physical functioning. When using a self-report measure such as the WOMAC, one should realize that it does not seem to assess the separate constructs—physical functioning and pain—that are claimed to be measured.

Abstract 336: Relationship of Provider and Practice Volume to Performance Measure Adherence: Results from the NCDR®

2013 ◽  
Vol 6 (suppl_1) ◽  
Author(s):  
Lisa M Fleming ◽  
Philip Jones ◽  
Fengming Tang ◽  
Paul Chan ◽  
Adin-Cristian Andrei ◽  
...  
Keyword(s):  
Performance Measures ◽  
Beta Blockers ◽  
Heart Association ◽  
Quality Measures ◽  
Performance Measure ◽  
Practice Volume ◽  
Logistic Regression Models ◽  
Provider Volume ◽  
And Performance ◽  
The Relationship

Background: Previous research demonstrates an association between higher surgical volume and improved outcomes; however, there has been limited literature evaluating the association between volume and quality of care in cardiovascular patients. We examined the relationship between volume and compliance with selected outpatient quality measures for coronary artery disease (CAD). Methods: Using a contemporary cohort from the PINNACLE Registry ® (2009-2012), average monthly provider and practice volumes were calculated for CAD encounters. Performance for four American Heart Association (AHA) CAD measures (antiplatelets, beta blockers, ACE inhibitor/ARBs, lipid therapy) was assessed at the most recent encounter for each patient. The percentage of patients meeting 100% of quality measures was calculated for both providers and practices. We fit 3-level hierarchical logistic regression models to assess the relationship between provider and practice volume and performance on quality measures. Results: Data were available for 577,645 patients, representing 1,134 providers from 78 practices nationwide. Monthly practice volumes (median (IQR)) were 683 (251-1466) for CAD encounters and monthly provider volumes were 67 (33-119). Overall, 48% of patients met all CAD measures. The relationship between provider and practice volumes and adherence to performance measures varied significantly. Practice volume was not associated with adherence to performance measures (p = .49), however higher provider volume was positively associated with adherence to performance measures (p < 01) (See Figure 1 ). Conclusions: In the PINNACLE Registry ® performance on published quality measures for CAD was modest and variable. Higher provider volume was positively associated with adherence to performance measures, but there was no association between practice volume and performance.

scholarly journals The Relationship of Insufficient Effort Responding and Response Styles: An Online Experiment

2022 ◽  
Vol 12 ◽  
Author(s):  
Gene M. Alarcon ◽  
Michael A. Lee
Keyword(s):  
Data Cleaning ◽  
Cognitive Effort ◽  
Response Styles ◽  
Self Report ◽  
Future Research ◽  
Wide Range ◽  
Before And After ◽  
The Difference ◽  
Relationship Of ◽  
The Relationship

While self-report data is a staple of modern psychological studies, they rely on participants accurately self-reporting. Two constructs that impede accurate results are insufficient effort responding (IER) and response styles. These constructs share conceptual underpinnings and both utilized to reduce cognitive effort when responding to self-report scales. Little research has extensively explored the relationship of the two constructs. The current study explored the relationship of the two constructs across even-point and odd-point scales, as well as before and after data cleaning procedures. We utilized IRTrees, a statistical method for modeling response styles, to examine the relationship between IER and response styles. To capture the wide range of IER metrics available, we employed several forms of IER assessment in our analyses and generated IER factors based on the type of IER being detected. Our results indicated an overall modest relationship between IER and response styles, which varied depending on the type of IER metric being considered or type of scale being evaluated. As expected, data cleaning also changed the relationships of some of the variables. We posit the difference between the constructs may be the degree of cognitive effort participants are willing to expend. Future research and applications are discussed.

Klein with Lacan: A Study on the Reception of Lacanian Ideas in Uruguay and Its Effects on Clinical Practices (1955–82)

2020 ◽  
Vol 22 (3) ◽  
pp. 341-361
Author(s):  
Gonzalo Grau-Pérez ◽  
J. Guillermo Milán
Keyword(s):  
Clinical Practice ◽  
Clinical Material ◽  
Clinical Practices ◽  
Before And After ◽  
The Difference ◽  
The 1960S ◽  
The Relationship ◽  
Discursive Approach ◽  
The Way ◽  
Clinical Cases

In Uruguay, Lacanian ideas arrived in the 1960s, into a context of Kleinian hegemony. Adopting a discursive approach, this study researched the initial reception of these ideas and its effects on clinical practices. We gathered a corpus of discursive data from clinical cases and theoretical-doctrinal articles (from the 1960s, 1970s and 1980s). In order to examine the effects of Lacanian ideas, we analysed the difference in the way of interpreting the clinical material before and after Lacan's reception. The results of this research illuminate some epistemological problems of psychoanalysis, especially the relationship between theory and clinical practice.

“Knowledge management practices” as moderator in the relationship between organizational culture and performance in information technology companies in India

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Timothy Shea ◽  
Syed Aktharsha Usman ◽  
Sengottuvel Arivalagan ◽  
Satyanarayana Parayitam
Keyword(s):  
Information Technology ◽  
Organizational Culture ◽  
Knowledge Management ◽  
Organizational Performance ◽  
Management Practices ◽  
Self Report ◽  
Content Type ◽  
And Performance ◽  
Information Technology Companies ◽  
The Relationship

Purpose The purpose of this study is to empirically examine knowledge management (KM) practices as a moderator in the relationship between organizational culture and performance. The effect of four types of organizational culture on organizational performance was studied. In addition to direct effects, most importantly, KM practices as a moderator in strengthening the culture-performance relationship were empirically examined. Design/methodology/approach A carefully crafted survey instrument was distributed and data was collected from 1,255 respondents from 10 information technology companies in India. After checking the psychometric properties of the instrument, this paper performs hierarchical regression to test hypotheses. Findings The results reveal that: cooperative culture, innovative culture, consistent culture and effectiveness culture were all positively and significantly related to organizational performance; KM practices were positively and significantly related to organizational performance, KM practices moderate the relationship between various dimensions of organizational culture and organizational performance. Research limitations/implications As with any survey-based research, the present study suffers from the problems associated with self-report measures. These are common method bias and social desirability bias. However, this study attempts to minimize these limitations by following appropriate statistical techniques. Practical implications This study contributes to both practicing managers and the literature on KM and organizational culture. The study suggests that managers use KM practices, which are all-pervasive and very important for improving organizational performance. The results highlight the importance of implementing KM practices in organizations. Originality/value This study provides new insights into the importance of KM practices in achieving sustained competitive advantage by achieving organizational effectiveness. To the knowledge, the importance of KM practices is underemphasized in organizational culture research.

Abstract 3429: Implementation of Electronic Medical Record Stroke Templates Increases Compliance with Stroke Performance Measures

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Crismely A Perdomo ◽  
Vepuka E Kauari ◽  
Elizabeth Suarez ◽  
Olajide Williams ◽  
Joshua Stillman ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Performance Measures ◽  
New York State ◽  
Stroke Care ◽  
Performance Measure ◽  
Performance Comparison ◽  
York State Department ◽  
Free Text ◽  
And Performance

Background and Purpose The literature demonstrates how utilizing evidence-based, standardized stroke care can improve patient outcomes; however, the contribution of electronic medical record (EMR) systems may also impact outcomes by ensuring utilization and compliance with established stroke performance measures, facilitating and improving documentation requirements, and standardizing approach to care. In 2008, documentation in patients’ medical records was done in combination of paper and a template free EMR. Originally, the EMR was used for order entry, then transitioned to full electronic documentation in 2009. At that time we implemented our stroke templates and performance measures based on regulatory standards. We hypothesized that the stroke template implementation would help us achieve performance measure criteria above state benchmarks as set out by the New York State Department of Health (NYS DOH). Methods Implementation was phased in [over 18 months], initially using a template that only included neurological assessment and free text fields for stroke measures. By July 2010, existing templates were modified and additional stroke templates were implemented to meet new regulatory requirements and meaningful use criteria. Retrospective data review was conducted for performance comparison between 2008 -- one year prior to EMR/template implementation -- and 2010. In Quarter 1 of 2011 EMR was also implemented in the Emergency Department (ED). Data was reviewed for compliance with stroke measures. Results Documentation compliance substantially improved between 2008 and Quarter 1 2011: Compliance for these measures has been maintained ≥ 85% since November 2010, ≥ 90% Q1 2011 Conclusions The EMR implementation of stroke templates and performance measures can produce substantial improvement in performance measure compliance. Future steps will include automated documentation alerts to retrieve information and real time discovery of missing documentation for concurrent quality review and improvement

Organizational Support for Professionalism, Organizational Citizenship Behavior (OCB), and Performance

2021 ◽  
Vol 10 (1) ◽  
pp. 1-12
Author(s):  
Noviana Norrohmat ◽  
Umar Nimran ◽  
Kusdi Raharjo ◽  
Hamidah Nayati Utami ◽  
Endang Siti Astuti
Keyword(s):  
Organizational Citizenship ◽  
Organizational Citizenship Behavior ◽  
Organizational Support ◽  
Citizenship Behavior ◽  
Research Approach ◽  
The Difference ◽  
And Performance ◽  
Relationship Of ◽  
Descriptive Survey ◽  
The Relationship

The purpose of this research is to determine the organizational support for professionalism that has never been done before. The research approach is to conceptualize the structure of the relationship of variables from a study. Verification research is to test the hypothesis through data collection in the field using two methods, namely descriptive survey and explanatory survey. The use of both methods aims to analyze the causality relationship between research variables in accordance with the hypothesis quantitatively. There is significant influence between the variables of organizational support to professional variables. However, different results are found on the influence of organizational support variables on OCB and performance that have no significant effect. There is also an indirect influence between organizational support variables on OCB and performance through intermediary intervening professionalism variables. The difference between this research and the previous research are the use of constructs and the measurement in the unit of analysis being used.

scholarly journals Corporate reputation

2018 ◽  
Vol 25 (1) ◽  
pp. 47-64 ◽  
Author(s):  
Vanessa Pires ◽  
Guilherme Trez
Keyword(s):  
Organizational Performance ◽  
Corporate Reputation ◽  
Research Field ◽  
Social Implication ◽  
Public Companies ◽  
Content Type ◽  
Theoretical Paper ◽  
The Difference ◽  
And Performance ◽  
The Relationship

Purpose The purpose of this paper is to discuss the different approaches to the corporate reputation construct, in order to identify a comprehensive definition that can be used for measurement purposes, gaps identified by previous literature identified. Design/methodology/approach This is a theoretical essay. The authors analyzed studies that involve the relationship between corporate reputation and organizational performance, and the attributes of national and international corporate reputation ratings. Findings The authors identified a more comprehensive definition for the reputation construct, and indicated courses for the construct’s measurement, by considering: the judgment by the stakeholders (internal, suppliers, clients and the financial market); periodical evaluations under different organizational perspectives; attention to theoretical assumptions, among other aspects. Research limitations/implications The study is a theoretical paper that presents that the research field has many definitions that cannot be used interchangeably. It indicated how the reputation construct should be operationalized for measurement purposes. This study presented a reflection on the relationship between corporate reputation and performance, showing that it is not a settled topic in the academy. Practical implications The study advances the understanding of the reputation construct measurement, considering the adopted definition and the discussion of the attributes of the main ratings on corporate reputation. The adoption of a measurement method that takes into account the definition used in this study and the features of the methodologies discussed will improve the corporate reputation assessment. Social implications Literature indicates that a good corporate reputation can affect organizational performance and the inverse relationship is also true. As a social implication, it is extremely relevant to improve the understanding the definition and measurement methods of this construct. Originality/value This study discusses one of the most important intangible resources for organizations, contributing to the understanding of the difference between the market value and the book value of public companies. Besides it should be considered that there is one lack of a definition directly related to the measurement of the reputation construct in the literature, a gap in which this study contributes.

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