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Introduction
Publications
Publications (44)
Objective:
To develop and validate a short form of the Fugl-Meyer Assessment of Upper Extremity Scale (FMA-UE) using a machine learning approach (FMA-UE-ML). In addition, scores of items not included in the FMA-UE-ML were predicted.
Design:
Secondary data from a previous study, which assessed individuals post-stroke using the FMA-UE at 4 time po...
Background:
The Caregiver-Teacher Report Form of the Child Behavior Checklist for Ages 1½-5 (C-TRF) is a widely used checklist to identify emotional and behavioral problems in preschoolers. However, the 100-item C-TRF restricts its utility.
Aims:
This study aimed to develop a machine learning-based short-form of the C-TRF (C-TRF-ML).
Methods an...
Research Objectives
This study was undertaken to develop a short form of the Fugl-Meyer Assessment of Upper Extremity (FMA-UE) Scale using a machine learning approach.
Design
Cross-sectional observational study.
Setting
Hospitals.
Participants
Data of 408 individuals post-stroke were extracted from a published database.
Interventions
N/A.
Main...
Importance: Several short forms of the Stroke Impact Scale Version 3.0 (SIS 3.0) have been proposed in order to decrease its administration time of about 20 min. However, none of the short-form scores are comparable to those of the original measure.
Objective: To develop a short-form SIS 3.0 using a machine learning algorithm (ML–SIS).
Design: We d...
Aim:
This study determined whether higher screen time was associated with the development of 3-year-old children in Taiwan. It also examined whether differences would be found between television and other screen-based media in the probability of lagged development.
Methods:
We examined 2,139 children aged 3 years and their parents. The associati...
Error patterns of facial emotion recognition (FER) indicate how individuals misinterpret others’ facial expressions, which helps clinicians to manage related deficits. However, previous investigations are limited and may have been biased due to methodological issues (e.g., no consideration of response bias). This study aimed to propose a detectabil...
Objective: This study aimed to develop and validate a machine learning based short measure (the ML-5F) to assess 5 functions (activities of daily living (ADL), balance, upper extremity (UE) and lower extremity (LE) motor function, and mobility) in patients with stroke.
Design: Secondary data from a previous study. A follow-up study assessed patient...
Objective
The Fugl-Meyer motor scale is a well-validated measure for assessing upper extremity and lower extremity motor functions in people with stroke. The Fugl-Meyer Assessment (FM) motor scale contains numerous items (50), which reduces its clinical usability. The purpose of this study was to develop a short form of the FM for people with strok...
Importance: The Stroke Impact Scale 3.0 appears to be a promising outcome measure of health-related quality of life (HRQOL) for clients with stroke. However, because the factorial validity of the Stroke Impact Scale 3.0 remains unclear, its validity is limited.
Objective: To examine the underlying structure of the Stroke Impact Scale 3.0 by compari...
Purpose
Health literacy among patients is crucial for effective stroke management. The European Health Literacy Survey Questionnaire is a theory-based measure that comprehensively captures 12 domains of health literacy. We aimed to develop a computerized adaptive test of the European Health Literacy Survey Questionnaire to efficiently assess health...
Importance:
The most frequently used measures of facial emotion recognition (FER) are insufficiently comprehensive, reliable, valid, and efficient; moreover, the impact of gender on scoring has not been controlled.
Objective:
To develop a computerized adaptive test of FER for adults with schizophrenia.
Design:
First, we selected photographs fr...
Objective:
The purposes of this study were to examine the practice effects and test-retest reliability of the Continuous Performance Test, Identical Pairs version (CPT-IP) over four serial assessments in patients with schizophrenia.
Method:
Fifty-six patients with schizophrenia were assessed with the CPT-IP four times, once per week. The CPT-IP...
Background and purpose:
Previous evidence that the Postural Assessment Scale for Stroke (PASS) and the Berg Balance Scale (BBS) have similar responsiveness is doubtful. Compared with the BBS, the PASS has more items assessing basic balance abilities (such as postural transition during lying and sitting), so it should be more likely to detect chang...
Date Presented 04/05/19
The Computerized Alternating Attention Test (CAAT) assesses alternating attention regularly in clinic and follow-up assessments in patients with schizophrenia. When performing the CAAT, subjects were required to alternately judge two types of rules: digit and shape. A shorter time for completing the CAAT indicates better alt...
The computerized adaptive testing system of the functional assessment of stroke (CAT-FAS) can simultaneously assess four functions (motor functions of the upper and lower extremities, postural control, and basic activities of daily living) with sufficient reliability and administrative efficiency. CAT, a modern measurement method, aims to provide a...
Objective:
The authors aimed to develop and validate the Computerized Adaptive Testing System for Assessing 5 Functions in Patients with Stroke (CAT-5F) based on the Barthel Index (BI), Postural Assessment Scale for Stroke patients (PASS), and Stroke Rehabilitation Assessment of Movement (STREAM) to improve the efficiency of assessment. The purpos...
Purpose: To investigate the responsiveness and predictive validity of the computerized digit vigilance test (C-DVT) in inpatients receiving rehabilitation following stroke.
Methods: Forty-nine patients completed the C-DVT and the Barthel Index (BI) after admission to and before discharge from the rehabilitation ward. The standardized response mean...
Administering a sustained attention test often takes a lengthy time, which can hamper routine assessments in clinical settings. Therefore, we first proposed a method to reduce the time needed for administering a sustained attention test (the Computerized Digit Vigilance Test, C-DVT). The method was to retrieve 5 segments from different trial positi...
Estimated completion time and number of errors of the 5 proposed segments.
(DOC)
Standard error of measurement (SEM) and minimal detectable change (MDC) of the 5 segments and the C-DVT (n = 44).
(DOCX)
The cumulative reliability (SEM% calculated on the basis of Pearson’s r and ICC, respectively) over trials.
The SEM% of each dot is the cumulative reliability (calculated from the first trial to that trial).
(TIF)
Raw data of this study.
(XLSX)
Background:
Health literacy enables effective communication, participation, and cooperation with clinicians of patients with breast cancer in healthcare processes. The European Health Literacy Survey Questionnaire (HLS-EU-Q) comprehensively assesses multiple conceptual domains of health literacy in a diverse range of health contexts. However, the...
Background
No studies have compared the 2-factor structures of Wong’s and Post’s versions of the short-form Stroke-Specific Quality of Life (i.e., 12-item SSQOL) scale. This study compared the construct validity of 2 short-forms of the 12-item-SSQOL (not the 12-domain-SSQOL).
Methods
Data were obtained from a previous validation study of the origi...
Objective:
To develop a Computerized Adaptive Testing of Social Functioning (Social-CAT) for patients with stroke.
Design:
This study contained 2 phases: First, a unidimensional item bank was formed using social-related items with sufficient item fit (i.e., infit and outfit mean square (MNSQ)). The social-related items were selected from 3 commo...
Objective:
To develop a computerized adaptive testing system of the Functional Assessment of Stroke (CAT-FAS) to assess upper- and lower-extremity (UE/LE) motor function, postural control, and basic activities of daily living (BADL) with optimal efficiency and without sacrificing psychometric properties in patients with stroke.
Design:
Simulatio...
Objective:
To examine both group- and individual-level responsiveness of the 3-point Berg Balance Scale (BBS-3P) and 3-point Postural Assessment Scale for Stroke Patients (PASS-3P) in patients with stroke, and to compare the responsiveness of both 3-point measures versus their original measures (BBS and PASS) and their short forms (SFBBS and SFPAS...
Background:
Health literacy (HL) enables patients with breast cancer to actively participate in health decisions and promote positive health outcomes. The Integrated Model of Health Literacy (IMHL), defined as the personal, situational, and societal/environmental factors that predict the level of HL that can influence health outcomes, incorporates...
Objective:
The purposes of this study were to examine the test-retest reliability, concurrent validity, and ecological validity of the Computerized Digit Vigilance Test (C-DVT) in patients with schizophrenia.
Method:
Each participant was assessed four times, with 1-week intervals. In each assessment, the participants completed both the C-DVT and...
Background:
The effective self-management and treatment of long-term disability after stroke depends greatly on the health literacy of patients. The European Health Literacy Survey Questionnaire (HLS-EU-Q) is a comprehensive and theory-based measure that captures multiple self-perceived competencies of health literacy and covers a diverse range of...
Background and purpose:
The Fugl-Meyer Assessment motor scale, Postural Assessment Scale for Stroke patients, and Barthel Index are widely used to assess patients' upper extremity and lower extremity motor function, balance, and basic activities of daily living after stroke, respectively. However, these 3 measures (72 items) require a great amount...
Background:
The 3-level Berg Balance Scale (BBS-3P) and 3-level Postural Assessment Scale (PASS-3P) were simplified from the BBS and PASS to overcome the complex scoring systems. The BBS-3P and PASS-3P were more feasible in busy clinical practice and showed similarly sound validity and responsiveness to the original measures. However, the reliabil...
Purpose:
Traumatic limb injury (TLI) can have a negative impact on a patient's quality of life (QOL), and the patient's QOL may fluctuate over time. However, the longitudinal change patterns of QOL in patients with TLI are largely unknown. The aim of this study was to investigate the QOL trajectories in patients with TLI in 4 QOL domains: physical...
The Brunnstrom recovery stages (the BRS) consists of 2 items assessing the poststroke motor function of the upper extremities and 1 assessing the lower extremities. The 3 items together represent overall motor function. Although the BRS efficiently assesses poststroke motor functions, a lack of rigorous examination of the psychometric properties re...
Although methylphenidate has been used as a neurostimulant to treat patients with attention deficit hyperactivity disorder, its therapeutic role in the psychomotor or cognitive recovery of patients with traumatic brain injuries (TBIs) in both intensive care and rehabilitation settings has not been adequately explored. To address this issue, this me...
Purpose:
To develop a Tablet-based Symbol Digit Modalities Test (T-SDMT) and to examine the test-retest reliability and concurrent validity of the T-SDMT in patients with stroke.
Methods:
The study had two phases. In the first phase, six experts, nine college students and five outpatients participated in the development and testing of the T-SDMT...
To examine the ecological validity, predictive validity, and responsiveness of the Five Digit Test (FDT) in patients with stroke.
We included inpatients with stroke (n = 144, 114 and 105 in the ecological validity, predictive validity, and responsiveness analysis, respectively) in the study. At admission, the FDT and Barthel Index (BI) were assesse...
Objectives:
To develop a computerized Digit Vigilance Test (C-DVT) with lower random measurement error than that of the DVT and to examine the concurrent validity, ecological validity, and test-retest reliability of the C-DVT in patients with stroke.
Design:
A cross-sectional study.
Patients:
Forty-four patients with stroke.
Methods:
We deve...