Centre d'Information et de documentation du CRA Rhône-Alpes
CRA
Informations pratiques
-
Adresse
Centre d'information et de documentation
du CRA Rhône-Alpes
Centre Hospitalier le Vinatier
bât 211
95, Bd Pinel
69678 Bron CedexHoraires
Lundi au Vendredi
9h00-12h00 13h30-16h00Contact
Tél: +33(0)4 37 91 54 65
Mail
Fax: +33(0)4 37 91 54 37
-
Résultat de la recherche
2 recherche sur le mot-clé 'Clinical significance'
Affiner la recherche Générer le flux rss de la recherche
Partager le résultat de cette recherche Faire une suggestion
Reliability of the ADI-R for the Single Case-Part II: Clinical Versus Statistical Significance / Domenic V. CICCHETTI in Journal of Autism and Developmental Disorders, 44-12 (December 2014)
[article]
Titre : Reliability of the ADI-R for the Single Case-Part II: Clinical Versus Statistical Significance Type de document : Texte imprimé et/ou numérique Auteurs : Domenic V. CICCHETTI, Auteur ; Catherine LORD, Auteur ; Kathy KOENIG, Auteur ; Ami KLIN, Auteur ; Fred R. VOLKMAR, Auteur Article en page(s) : p.3154-3160 Langues : Anglais (eng) Mots-clés : Autism Clinical significance Statistical significance Inter-rater reliability Multiple raters, one patient Index. décimale : PER Périodiques Résumé : In an earlier investigation, the authors assessed the reliability of the ADI-R when multiple clinicians evaluated a single case, here a female 3 year old toddler suspected of having an autism spectrum disorder (Cicchetti et al. in J Autism Dev Disord 38:764–770, 2008). Applying the clinical criteria of Cicchetti and Sparrow (Am J Men Def 86:127–137, 1981); and those of Cicchetti et al. (Child Neuropsychol 126–137, 1995): 74 % of the ADI-R items showed 100 % agreement; 6 % showed excellent agreement; 7 % showed good agreement; 3 % manifested average agreement; and the remaining 10 % evidenced poor agreement. In this follow-up investigation, the authors described and applied a novel method for determining levels of statistical significance of the reliability coefficients obtained in the earlier investigation. It is based upon a modification of the Z test for comparing a given level of inter-examiner reliability with a lower limit value of 70 % (Dixon and Massey in Introduction to statistical analysis. McGraw-Hill, New York, 1957). Results indicated that every item producing a clinically acceptable level of inter-examiner reliability was also statistically significant. However, the reverse was not true, since a number of the items with statistically significant reliability levels did not reach levels of agreement that were clinically meaningful. This indicated that clinical significance was an accurate marker of statistical significance. The generalization of these findings to other areas of diagnostic interest and importance is also examined. En ligne : http://dx.doi.org/10.1007/s10803-014-2177-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243
in Journal of Autism and Developmental Disorders > 44-12 (December 2014) . - p.3154-3160[article] Reliability of the ADI-R for the Single Case-Part II: Clinical Versus Statistical Significance [Texte imprimé et/ou numérique] / Domenic V. CICCHETTI, Auteur ; Catherine LORD, Auteur ; Kathy KOENIG, Auteur ; Ami KLIN, Auteur ; Fred R. VOLKMAR, Auteur . - p.3154-3160.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 44-12 (December 2014) . - p.3154-3160
Mots-clés : Autism Clinical significance Statistical significance Inter-rater reliability Multiple raters, one patient Index. décimale : PER Périodiques Résumé : In an earlier investigation, the authors assessed the reliability of the ADI-R when multiple clinicians evaluated a single case, here a female 3 year old toddler suspected of having an autism spectrum disorder (Cicchetti et al. in J Autism Dev Disord 38:764–770, 2008). Applying the clinical criteria of Cicchetti and Sparrow (Am J Men Def 86:127–137, 1981); and those of Cicchetti et al. (Child Neuropsychol 126–137, 1995): 74 % of the ADI-R items showed 100 % agreement; 6 % showed excellent agreement; 7 % showed good agreement; 3 % manifested average agreement; and the remaining 10 % evidenced poor agreement. In this follow-up investigation, the authors described and applied a novel method for determining levels of statistical significance of the reliability coefficients obtained in the earlier investigation. It is based upon a modification of the Z test for comparing a given level of inter-examiner reliability with a lower limit value of 70 % (Dixon and Massey in Introduction to statistical analysis. McGraw-Hill, New York, 1957). Results indicated that every item producing a clinically acceptable level of inter-examiner reliability was also statistically significant. However, the reverse was not true, since a number of the items with statistically significant reliability levels did not reach levels of agreement that were clinically meaningful. This indicated that clinical significance was an accurate marker of statistical significance. The generalization of these findings to other areas of diagnostic interest and importance is also examined. En ligne : http://dx.doi.org/10.1007/s10803-014-2177-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=243 Brief Report: Modest but Clinically Meaningful Effects of Early Behavioral Intervention in Twins with Rett Syndrome-A Case Study / K. B. TITLESTAD in Journal of Autism and Developmental Disorders, 49-12 (December 2019)
[article]
Titre : Brief Report: Modest but Clinically Meaningful Effects of Early Behavioral Intervention in Twins with Rett Syndrome-A Case Study Type de document : Texte imprimé et/ou numérique Auteurs : K. B. TITLESTAD, Auteur ; S. ELDEVIK, Auteur Article en page(s) : p.5063-5072 Langues : Anglais (eng) Mots-clés : Case study Clinical significance Early intensive behavioral intervention Rett syndrome Index. décimale : PER Périodiques Résumé : A growing evidence base supports early intensive behavioral intervention (EIBI) for young children with autism spectrum disorder. We have found only one study exploring the outcome of EIBI for children with Rett syndrome, which reported little effect. It suggested that future studies should employ more fine-grained outcome measures. We provided EIBI for twin 3-year-old girls with Rett syndrome for a period of 3 years. We analyzed raw scores and standard scores from a measure of adaptive behavior and a detailed assessment of skills across 25 areas. We detected moderate but clinically meaningful gains in areas such as communication and self-help. Gains are discussed from a quality of life perspective and whether the moderate effects can justify the resources required in EIBI. En ligne : http://dx.doi.org/10.1007/s10803-019-04185-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=411
in Journal of Autism and Developmental Disorders > 49-12 (December 2019) . - p.5063-5072[article] Brief Report: Modest but Clinically Meaningful Effects of Early Behavioral Intervention in Twins with Rett Syndrome-A Case Study [Texte imprimé et/ou numérique] / K. B. TITLESTAD, Auteur ; S. ELDEVIK, Auteur . - p.5063-5072.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-12 (December 2019) . - p.5063-5072
Mots-clés : Case study Clinical significance Early intensive behavioral intervention Rett syndrome Index. décimale : PER Périodiques Résumé : A growing evidence base supports early intensive behavioral intervention (EIBI) for young children with autism spectrum disorder. We have found only one study exploring the outcome of EIBI for children with Rett syndrome, which reported little effect. It suggested that future studies should employ more fine-grained outcome measures. We provided EIBI for twin 3-year-old girls with Rett syndrome for a period of 3 years. We analyzed raw scores and standard scores from a measure of adaptive behavior and a detailed assessment of skills across 25 areas. We detected moderate but clinically meaningful gains in areas such as communication and self-help. Gains are discussed from a quality of life perspective and whether the moderate effects can justify the resources required in EIBI. En ligne : http://dx.doi.org/10.1007/s10803-019-04185-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=411