Comparison of Measurement Methods to Evaluate Adolescent's Ability to Recognize Child Illness Severity

2.50
Hdl Handle:
http://hdl.handle.net/10755/163224
Category:
Abstract
Type:
Presentation
Title:
Comparison of Measurement Methods to Evaluate Adolescent's Ability to Recognize Child Illness Severity
Author(s):
Nelson, Christine A.
Author Details:
Christine A. Nelson, DNS, RNC, PNP, Research Assistant Professor, University at Buffalo School of Nursing, Alden, New York, USA, email: cnelson2@buffalo.edu
Abstract:
Purpose: The CROSS Scale (Caregiver Recognition of Symptom Severity) is a scenario based scale of 12 vignettes evaluating illnesses with a worded (semantic) question and visual analog scale to determine the perceived severity of illness. The performance of the two methods was evaluated. Theoretical Framework: DeVellis recommendations for scale development. Methods (Design, Sample, Setting, Measures, Analysis): Nearly 800 teens from 10 sites in Western NY utilized the CROSS scale determining how ill the child depicted in the scenario was by worded question (not very sick, somewhat sick or very sick) and marking an anchored visual analog scale. Sites included public and parochial schools, clinics and youth organizations The visual analog scale was scored into three segments corresponding to worded answers: (0-not very sick-first segment), (1-somewhat sick-second segment) and (2-very sick-third segment). Percent agreement was determined between semantic illness severity depiction and rescored visual analogue scale. Test-retest reliability was determined for each scenario and subscales of mild, moderate and severe illnesses. Missing data accounted for 4.4% of semantic analog and 1.9% of visual analog answers. Results: Percent agreement between worded semantic analog scales and visual analog scales ranged between 72.2 - 87.0% for individual scenarios. The test-retest correlation for individual scenario performance was statistically significant for 6 semantic analog questions and 10 visual analog scales. All subscales were statistically significant in test-retest correlations. Teens were more willing to complete visual analog sections when compared to worded semantic questions. Conclusions and Implications: The use of the worded semantic analog and the visual analog was initially included in the CROSS scale as a validity check for questions. The participants consistently answered the two measures depicting the illness severity depiction. Teens preferred the visual analog method, possibly because it did not resemble a 'test question'. The use of visual analog scales should be considered in further use of this scale, especially with adolescent participants.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleComparison of Measurement Methods to Evaluate Adolescent's Ability to Recognize Child Illness Severityen_GB
dc.contributor.authorNelson, Christine A.en_US
dc.author.detailsChristine A. Nelson, DNS, RNC, PNP, Research Assistant Professor, University at Buffalo School of Nursing, Alden, New York, USA, email: cnelson2@buffalo.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163224-
dc.description.abstractPurpose: The CROSS Scale (Caregiver Recognition of Symptom Severity) is a scenario based scale of 12 vignettes evaluating illnesses with a worded (semantic) question and visual analog scale to determine the perceived severity of illness. The performance of the two methods was evaluated. Theoretical Framework: DeVellis recommendations for scale development. Methods (Design, Sample, Setting, Measures, Analysis): Nearly 800 teens from 10 sites in Western NY utilized the CROSS scale determining how ill the child depicted in the scenario was by worded question (not very sick, somewhat sick or very sick) and marking an anchored visual analog scale. Sites included public and parochial schools, clinics and youth organizations The visual analog scale was scored into three segments corresponding to worded answers: (0-not very sick-first segment), (1-somewhat sick-second segment) and (2-very sick-third segment). Percent agreement was determined between semantic illness severity depiction and rescored visual analogue scale. Test-retest reliability was determined for each scenario and subscales of mild, moderate and severe illnesses. Missing data accounted for 4.4% of semantic analog and 1.9% of visual analog answers. Results: Percent agreement between worded semantic analog scales and visual analog scales ranged between 72.2 - 87.0% for individual scenarios. The test-retest correlation for individual scenario performance was statistically significant for 6 semantic analog questions and 10 visual analog scales. All subscales were statistically significant in test-retest correlations. Teens were more willing to complete visual analog sections when compared to worded semantic questions. Conclusions and Implications: The use of the worded semantic analog and the visual analog was initially included in the CROSS scale as a validity check for questions. The participants consistently answered the two measures depicting the illness severity depiction. Teens preferred the visual analog method, possibly because it did not resemble a 'test question'. The use of visual analog scales should be considered in further use of this scale, especially with adolescent participants.en_GB
dc.date.available2011-10-27T11:03:37Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:03:37Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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