Item Development for the Psychosocial Impact of Assistive Devices Scale for Continence (C-PIADS)
Notice bibliographique
Résumé
Urinary incontinence (UI) poses problems for millions of people of varying ages worldwide. Continence symptoms can be ameliorated with pelvic floor rehabilitation, drugs, or operational intervention. In addition there is a great variety of assistive technology devices (ATDs) used to aid continence management. Because continence difficulties (CD) can profoundly affect an individual's participation in society and, thereby, their health-related quality of life, it is important to have valid, responsive and sensitive measure of the impact of these devices on psychosocial experiences. One such tool, a 26-item self-report questionnaire the Psychosocial Impact of Assistive Devices Scale (PIADS) has been shown to reliably predict the adoption and use of ATDs. Our study was to investigate if and how this instrument could be modified to be sensitive to the use of continence management devices. The study used interpretive methods in which qualitative information from semi-structured interviews was combined with the findings from cognitive interviews for questionnaire pre-testing to inform the development of a new questionnaire. A total of 40 participants from Canada and UK were recruited. All interviewees self-reported CD – bladder and/or bowel - and use of ATDs to manage continence symptoms. Semi-structured interviews, lasting between 10 and 30 minutes, were conducted with all participants. The objective was to provide opportunities for interviewees to spontaneously (i.e. without reference to PIADS) identify important concerns and issues that should be considered for developing a version of the PIADS for continence technologies. Twenty-nine participants were also asked to complete the paper version of the PIADS questionnaire while considering their currently used continence device or product. They were asked to comment on the suitability and appropriateness of PIADS for assessing quality of life outcomes resulting from UI intervention and how well the questionnaire captured the impact of continence management products and devices. Finally, they were encouraged to suggest supplemental items, (i.e. issues not represented in the PIADS) perceived to impact upon quality of life outcomes following UI intervention. Results of the in-depth semi-structured questionnaires so far, reflect the findings from similar studies carried out on Foley catheter users with frequent references to the inconvenience, embarrassment and resignation to their condition. Generally, participants appeared to be able to complete the PIADS without difficulty and indicated that the tool reflected their primary psychosocial concerns with continence devices. Some indications for additional items, such as those related to stigma, are emerging. A version for continence, the C-PIADS, will require some modifications to the PIADS, and is likely to contain the addition of some new items. Following our full analysis a draft C-PIADS will be produced and this will be tested and validated as part of a European ERA-net grant in 2014.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,011 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,002 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,002 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».