The Experts below are selected from a list of 11361 Experts worldwide ranked by ideXlab platform
William G Ondo - One of the best experts on this subject based on the ideXlab platform.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consistency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, particularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Shu Chen Wu, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consis- tency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, par- ticularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement. © 2007 Movement Disorder Society
-
tetrabenazine treatment for huntington s disease associated chorea
Clinical Neuropharmacology, 2002Co-Authors: William G Ondo, Ron Tintner, Madhavi Thomas, Joseph JankovicAbstract:Tetrabenazine (TBZ), a monoamine depleter and dopamine receptor blocker, is used to treat a variety of hyperkinetic movement disorders. The objective was to study the efficacy and tolerability of TBZ for chorea associated with Huntington's disease (HD). Nineteen patients (12 female), mean age 56.3 +/- 12.4 years (range 37-76 years) diagnosed with HD were prospectively evaluated at initial and follow-up visits using a modified Abnormal Involuntary Movement Scale (AIMS). Patients were Videotaped, and the randomized Videotapes were rated with the motor subset of the AIMS by two investigators who were blinded to treatment assignment. Eighteen patients completed and were rated after 5.9 +/- 3.3 months (range 2-11) at a final mean TBZ dose of 62.5 +/- 37.4 mg/day (range 25-150). The blinded Videotaped motor scores showed that 15 were better on TBZ, 2 were better before TBZ, and 1 was unchanged (p < 0.001, Wilcoxon signed rank test). The mean score improved from 16.2 +/- 4.8 to 12.8 +/- 4.4. Adverse events included akathisia, insomnia, constipation, depression, drooling, and subjective weakness. All 18 of these patients have continued to take TBZ since completion of the study. TBZ was well tolerated and resulted in a significant improvement in modified AIMS scores in HD patients. These results support the use of TBZ for chorea in patients with HD.
Joseph Hulihan - One of the best experts on this subject based on the ideXlab platform.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consistency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, particularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Shu Chen Wu, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consis- tency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, par- ticularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement. © 2007 Movement Disorder Society
Thomas J Dishion - One of the best experts on this subject based on the ideXlab platform.
-
the validation of macro and micro observations of parent child dynamics using the relationship affect coding system in early childhood
Prevention Science, 2017Co-Authors: Thomas J Dishion, Daniel S Shaw, Melvin N Wilson, Chung Jung Mun, Jennyun Tein, Hanjoe Kim, Frances Gardner, Jenene PetersonAbstract:This study examined the validity of micro social observations and macro ratings of parent–child interaction in early to middle childhood. Seven hundred and thirty-one families representing multiple ethnic groups were recruited and screened as at risk in the context of Women, Infant, and Children (WIC) Nutritional Supplement service settings. Families were randomly assigned to the Family Checkup (FCU) intervention or the control condition at age 2 and Videotaped in structured interactions in the home at ages 2, 3, 4, and 5. Parent–child interaction Videotapes were micro-coded using the Relationship Affect Coding System (RACS) that captures the duration of two mutual dyadic states: positive engagement and coercion. Macro ratings of parenting skills were collected after coding the Videotapes to assess parent use of positive behavior support and limit setting skills (or lack thereof). Confirmatory factor analyses revealed that the measurement model of macro ratings of limit setting and positive behavior support was not supported by the data, and thus, were excluded from further analyses. However, there was moderate stability in the families’ micro social dynamics across early childhood and it showed significant improvements as a function of random assignment to the FCU. Moreover, parent–child dynamics were predictive of chronic behavior problems as rated by parents in middle childhood, but not emotional problems. We conclude with a discussion of the validity of the RACS and on methodological advantages of micro social coding over the statistical limitations of macro rating observations. Future directions are discussed for observation research in prevention science.
-
effects of video feedback on early coercive parent child interactions the intervening role of caregivers relational schemas
Journal of Clinical Child and Adolescent Psychology, 2013Co-Authors: Justin D Smith, Thomas J Dishion, Kevin J Moore, Daniel S Shaw, Melvin N WilsonAbstract:We examined the effect of adding a video feedback intervention component to the assessment feedback session of the Family Check-Up (FCU) intervention (Dishion & Stormshak, 2007). We hypothesized that the addition of video feedback procedures during the FCU feedback at child age 2 would have a positive effect on caregivers’ negative relational schemas of their child, which in turn would mediate reductions in observed coercive caregiver–child interactions assessed at age 5. We observed the caregiver–child interaction Videotapes of 79 high-risk families with toddlers exhibiting clinically significant problem behaviors. A quasi-random sample of families was provided with direct feedback on their interactions during the feedback session of the FCU protocol. Path analysis indicated that reviewing and engaging in feedback about Videotaped age 2 assessment predicted reduced caregivers’ negative relational schemas of the child at age 3, which acted as an intervening variable on the reduction of observed parent–chi...
S Moroff - One of the best experts on this subject based on the ideXlab platform.
-
global ratings of Videotaped performance versus global ratings of actions recorded on checklists a criterion for performance assessment with standardized patients
Academic Medicine, 1999Co-Authors: M H Swartz, J A Colliver, Charles L Bardes, Rita Charon, E D Fried, S MoroffAbstract:PURPOSE To test whether global ratings of checklists are a viable alternative to global ratings of actual clinical performance for use as a criterion for standardized-patient (SP) assessment. METHOD Five faculty physicians independently observed and rated Videotaped performances of 44 medical students on the seven SP cases that comprise the fourth-year assessment administered at The Morchand Center of Mount Sinai School of Medicine to students in the eight member schools in the New York City Consortium. A year later, the same panel of raters reviewed and rated checklists for the same 44 students on five of the same SP cases. RESULTS The mean global ratings of clinical competence were higher with Videotapes than checklists, whereas the mean global ratings of interpersonal and communication skills were lower with Videotapes. The correlations for global ratings of clinical competence showed only moderate agreement between the Videotape and checklist ratings; and for interpersonal and communication skills, the correlations were somewhat weaker. CONCLUSION The results raise serious questions about the viability of global ratings of checklists as an alternative to ratings of observed clinical performance as a criterion for SP assessment.
Mark Stacy - One of the best experts on this subject based on the ideXlab platform.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consistency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, particularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement.
-
assessment of interrater and intrarater reliability of the fahn tolosa marin tremor rating scale in essential tremor
Movement Disorders, 2007Co-Authors: Mark Stacy, Rodger J Elble, William G Ondo, Shu Chen Wu, Joseph HulihanAbstract:The purpose of this study was to evaluate interrater and intrarater reliability of the Fahn-Tolosa-Marin Tremor Rating Scale (TRS) in essential tremor (ET). Proper treatment of ET is contingent upon correct assessment of the severity, loss of function, and disability related to tremor. Videotape recordings of 17 subjects with ET evaluated with the TRS were produced and sent to 59 raters. Once the raters returned the Videotape and completed the score sheet, they were mailed a second tape with the same recordings presented in a different order. In the interrater reliability evaluation, modified Kappa statistics for seven tremor type composites ranged from 0.10 to 0.65 in the first Videotape and 0.17 to 0.62 in the second Videotape. Interrater reliabilities were greater for Part A items (magnitude of tremor in different body parts) than for Part B items (tremor in writing and drawings) of the TRS. The average Spearman correlation was 0.87, indicating very good consis- tency between the two Videotapes, but correlations for Part A were somewhat better than for Part B. It is best when the same rater performs repeated measures of tremor on a patient, par- ticularly when judging tremor in handwriting and drawings. Training of raters on use of the TRS would help standardize judgement. © 2007 Movement Disorder Society
