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84 Cards in this Set

  • Front
  • Back
Inter-rater reliability
variation between 2 or more raters who measure the same group of subjects
Intra-rater reliability
stability of data recorded by one rater across 2 or more trials
Variance
Differences among scores
Reliability Coefficient
True Score/True Score + Error Variance = RC
* 1 = best RC
* 0 = worst RC
Classic Reliability Theory
Single score made up of true score + random error gives the best estimate of actual value.
Generalizable Theory
Not all variations from trial to trial should be attributed only to random error. Single score made up of true score + various types of error. Must consider specific measure when considering reliability of measure.
Regression toward mean
Single tests potentially extreme (high or low) score, multiple tests reveal score closer to group average
Systematic Measurement Error
form of measurement error where error is consistent across trials.
Random Measurement Error
Change that causes unpredictable measurements from trial to trail
test-retest reliability
no rater, changes based on re-test.
Validity
accuracy, measuring what you intended to measure, coming up with the right answer, average values near target. Minimizes systematic error.

applies to measure and study
Snowball Sampling
TYPE OF NON PROBABILITY(CONVENIENCE) SAMPLING

Have current subjects "tell a friend" to join study
Purposive Sampling
TYPE OF NON PROBABILITY (CONVENIENCE) SAMPLING

Handpicking based on subective judgement
Quota Sampling
TYPE OF NON PROBABILITY (CONVENIENCE) SAMPLING

Consecutive sampling - get specific number of subjects with various characteristics.
• 1st 50 pt's with left TKR
• 1st 50 pt's with right TKR
Consecutive Sampling
TYPE OF NON PROBABILITY (CONVENIENCE) SAMPLING

Recruiting all subjects that meet study requirements as they become available
• 1st 100 pt's with TKR
Cluster Sampling
TYPE OF PROBABILITY SAMPLING

For a population too large to make complete sampling list. Initial selection must elicit equal chance of each person in population to be selected.
Disproportionate Sampling
TYPE OF PROBABILITY SAMPLING

example:
- 100 female PT students have average height 64"
- 100 male PT students have average heigh 68"
75% of PT students are female so the average height of pt students with respect to gender is:
(.75)64 + (.25)68 = 65"
Stratified Random Sampling
TYPE OF PROBABILITY SAMPLING

use to get proportional representation of males to females
Systematic Sampling
TYPE OF PROBABILITY SAMPLING

Divide total # of elements in accessible population by the number of elements to be selected. Randomly select a starting point, select each element at the sampling interval.

ex: 100 = pop, need 10 subjects. Randomly select number between 1 & 10. Say we picked 7. Select the 7th element, then select every 10th element from #7 (10 = sampling interval)
Simple Random Sampling
TYPE OF PROBABILITY SAMPLING

Randomly select subjects using random number generation
Probability Sampling
Every member of population has an equal chance of being selected for study
Target Population
entire population with characteristics of interest
Accessible Population
portion of target population that has a chance of being selected for study participation
Sample
subgroup of population
Generalization
what is true for the sample is true for the population
Sampling Bias
sample characteristics do not equal target population characteristics. Generalization of study conclusion from sample to population may be incorrect.
Population
group that meets criteria
Inclusion Criteria
used to identify target population
Exclusion Criteria
exclude based on ethical reasons, finances, inadequate data, or potential to skew data.
PICO
PROBLEM - PT Diagnosis
INTERVENTION - treatment
COMPARISON
OUTCOME - (desired result)

• represents the components of a good clinical question
Probability Sampling
Every member of population has an equal chance of being selected for study
Target Population
entire population with characteristics of interest
Accessible Population
portion of target population that has a chance of being selected for study participation
Sample
subgroup of population
Generalization
what is true for the sample is true for the population
Sampling Bias
sample characteristics do not equal target population characteristics. Generalization of study conclusion from sample to population may be incorrect.
Population
group that meets criteria
Inclusion Criteria
used to identify target population
Exclusion Criteria
exclude based on ethical reasons, finances, inadequate data, or potential to skew data.
PICO
PROBLEM - PT Diagnosis
INTERVENTION - treatment
COMPARISON
OUTCOME - (desired result)

• represents the components of a good clinical question
Methodological Studies
Use correlative methods to demonstrate reliability and validity of measurement instruments
Descriptive Research
documentation of observations of one or more groups of people
Experimental Research
Establishing cause & effect
Exploratory/Correlational Studies
Establishing relationships between factors (weaker levels of cause & effect)
Evidence Based Practice
method to examine evidence to anser patient care questions
Source of Knowledge
methods of collection patient care related information. Ranges from traditional to scientific
Reliability
Precision, repeatability of a measure, values similar

minimizes random error
Correlation
Relationship
Agreement
recoding same actual values
Continuous Data: Correlation Coefficient
used to quantitatively describe the strength and direction of a relationship between 2 variables

examples: Pearson & Spearman's Correlation Coefficient
& Intraclass (ICC) Correlation Coefficient
Categorical data: kappa statistic
chance corrected measure of agreement, in addition to looking at proportion of observed agreements, kappa also considers proportion of agreements expected by chance
Categorical Data: percent agreement
how often raters agree on scores given to individual subjects
responsive
changes with change, doesn't change with no change
predictive
inclusive of all possible outcomes (an answer for every possible situation)
Measurement Construct (Tools):
Straight forward tools
to measure length - ruler, tape measure
to measure speed - distance/time
Measurement Construct (Tools):
Less Straight forward tools
Ex. Balance - rate basted on test.
Face Validity
knowledgeable individuals agree that the measure is measuring what is intended. WEAKEST TYPE OF VALIDITY
Content Validity
In the development stage of measure, knowledgable individuals identify all aspects of the measure that should be included/excluded. Adds expert opinion while developing measurement tool.
Criterion related validity
predictive ability of a test
Criterion related validity:
validity of criterion
must be reliable, free from bias & relevant to target test. Use gold standard test to test a new way to test the same thing
Criterion related validity:
Concurrent Validity
Criterion measure and target test scores taken at same time. Use gold standard test and new test at same time
Criterion related validity:
Predictive Validity
target test taken to predict the future criterion score/event. Measurement that can predict and outcome. EXAMPLE: measuring TKR pt's knee flexion prior to surgery to predict what their range will be 4 weeks post surgery.
Construct Validity
Does a developed construct appropriately measure the variable to be measured?
Construct Validity:
Factor Analysis
identifies different components of a construct
Construct Validity:
Hypothesis Testing
Construct behaves in measuring subjects as one would hypothesize
Construct Validity:
concurrent techniques
Known group methods
Convergence/discriminant
Minimal Clinically Important Difference
a measure of responsiveness. smallest difference in a measure that signifies and important difference in a patient's condition. Smallest difference that patient would perceive as "beneficial". allows determination of better vs not better.
Statistical Conclusion Validity
Is the statistical relationship between 2 or more variables under consideration determined by the appropriate statistical procedures?
Internal Validity
Did the measures of the investigation truly establish causality between variables under study?
4 Threats to internal validity
History - one group has different experience than other
Maturation - subjects change due to time not treatment
Attrition - loss of subjects in non-random fashion
Testing Effects - ability on follow-up test effected by learning how to take the test on initial measurement.
Hawthorne Effect
when people behave differently when they know they are being studied
External Validity
appropriateness of generalizing findings to larger population, outside of experimental situation
3 Threats to External Validity
non-representative samples
setting-specific characteristics that may not generalize
time in history when study was done
Measurement Scales: Ratio
equal intervals, true zero, meaningful proportions. Example: distance measurement
Measurement Scales: Interval
Equal intervals, nota true zero, proportions not meaningful.
Examples: time on calendar (days/months are equal intervals, 0 is arbitrary)
Temperature - for C & F 0 is arbitrarily set a freezing point
Measurement Scales: Ordinal
unequal intervals, numbers indicate rank, hierarchal order.
Example: Olympic medalists (unequal intervals but hierarchal)
Measurement Scales: Nominal
descriptive categories only, frequency counts per category.
Example: Hair colors in the room
Continuous Measures
scale that can be defined into ever diminishing increments (ration and interval scales)
Categorical Measures
measures that have categories, measured by frequency of occurrence
Dependent Variable
outcome or response variable - what is being measured for comparison or what is being predicted (continuous variable)
Independent variable
predictor or treatment variable - variable that is being manipulated by the reseacher (categorical variable)
Parameter
population's characteristic
Statistic
estimate of populations characteristic based on sample from population
Distribution
total set of variable scores and the shape of those scores