Disability Mediates the Impact of Common Conditions on Perceived Health
Jordi AlonsoGemma VilagutNúria D. AdroherSomnath ChatterjiYanling HeLaura Helena AndradeEvelyn J. BrometRonny BruffaertsJohn FayyadSilvia FlorescuGiovanni de GirolamoOye GurejeJosep María HaroHristo HinkovChiyi HuNoboru IwataSing LeeDaphna LevinsonJ.P. LépineHerbert MatschingerMaría Elena Medina‐MoraSiobhan O’NeillJ. HormelJosé Posada‐VillaNezar Ismet TaibMiguel XavierRonald C. Kessler
31
Citation
56
Reference
10
Related Paper
Citation Trend
Abstract:
Background We examined the extent to which disability mediates the observed associations of common mental and physical conditions with perceived health. Methods and Findings WHO World Mental Health (WMH) Surveys carried out in 22 countries worldwide (n = 51,344 respondents, 72.0% response rate). We assessed nine common mental conditions with the WHO Composite International Diagnostic Interview (CIDI), and ten chronic physical with a checklist. A visual analog scale (VAS) score (0, worst to 100, best) measured perceived health in the previous 30 days. Disability was assessed using a modified WHO Disability Assessment Schedule (WHODAS), including: cognition, mobility, self-care, getting along, role functioning (life activities), family burden, stigma, and discrimination. Path analysis was used to estimate total effects of conditions on perceived health VAS and their separate direct and indirect (through the WHODAS dimensions) effects. Twelve-month prevalence was 14.4% for any mental and 51.4% for any physical condition. 31.7% of respondents reported difficulties in role functioning, 11.4% in mobility, 8.3% in stigma, 8.1% in family burden and 6.9% in cognition. Other difficulties were much less common. Mean VAS score was 81.0 (SD = 0.1). Decrements in VAS scores were highest for neurological conditions (9.8), depression (8.2) and bipolar disorder (8.1). Across conditions, 36.8% (IQR: 31.2–51.5%) of the total decrement in perceived health associated with the condition were mediated by WHODAS disabilities (significant for 17 of 19 conditions). Role functioning was the dominant mediator for both mental and physical conditions. Stigma and family burden were also important mediators for mental conditions, and mobility for physical conditions. Conclusions More than a third of the decrement in perceived health associated with common conditions is mediated by disability. Although the decrement is similar for physical and mental conditions, the pattern of mediation is different. Research is needed on the benefits for perceived health of targeted interventions aimed at particular disability dimensions.Keywords:
CIDI
Depression
Purpose: The strategy used to improve effective checklist use in intensive care unit (ICU) setting is essential for checklist success. This study aimed to test the hypothesis that an electronic checklist could reduce ICU provider workload, errors, and time to checklist completion, as compared to a paper checklist. Methods: This was a simulation-based study conducted at an academic tertiary hospital. All participants completed checklists for 6 ICU patients: 3 using an electronic checklist and 3 using an identical paper checklist. In both scenarios, participants had full access to the existing electronic medical record system. The outcomes measured were workload (defined using the National Aeronautics and Space Association task load index [NASA-TLX]), the number of checklist errors, and time to checklist completion. Two independent clinician reviewers, blinded to participant results, served as the reference standard for checklist error calculation. Results: Twenty-one ICU providers participated in this study. This resulted in the generation of 63 simulated electronic checklists and 63 simulated paper checklists. The median NASA-TLX score was 39 for the electronic checklist and 50 for the paper checklist ( P = .005). The median number of checklist errors for the electronic checklist was 5, while the median number of checklist errors for the paper checklist was 8 ( P = .003). The time to checklist completion was not significantly different between the 2 checklist formats ( P = .76). Conclusion: The electronic checklist significantly reduced provider workload and errors without any measurable difference in the amount of time required for checklist completion. This demonstrates that electronic checklists are feasible and desirable in the ICU setting.
Cite
Citations (56)
This article assesses the association between self-rated mental health and selected World Mental Health-Composite International Diagnostic Interview (WMH-CIDI)-measured disorders, self-reported diagnoses of mental disorders, and psychological distress in the Canadian population.Data are from the 2002 Canadian Community Health Survey: Mental Health and Well-being. Weighted frequencies and cross-tabulations were used to estimate the prevalence of each mental morbidity measure and self-rated mental health by selected characteristics. Mean self-rated mental health scores were calculated for each mental morbidity measure. The association between self-rated mental health and each mental morbidity measure was analysed with logistic regression models.In 2002, an estimated 1.7 million Canadians aged 15 or older (7%) rated their mental health as fair or poor. Respondents classified with mental morbidity consistently reported lower mean self-rated mental health (SRMH) and had significantly higher odds of reporting fair/poor mental health than did those not classified with mental morbidity. Gradients in mean SRMH scores and odds of reporting fair/poor mental health by recency of WMH-CIDI-measured mental disorders were apparent. A sizeable percentage of respondents classified as having a mental morbidity did not perceive their mental health as fair/poor.Although self-rated mental health is not a substitute for specific mental health measures it is potentially useful for monitoring general mental health.
CIDI
Mental distress
Odds
Cite
Citations (146)
Abstract Data are reported on a series of short‐form (SF) screening scales of DSM‐III‐R psychiatric disorders developed from the World Health Organization's Composite International Diagnostic Interview (CIDI). A multi‐step procedure was used to generate CIDI‐SF screening scales for each of eight DSM disorders from the US National Comorbidity Survey (NCS). This procedure began with the subsample of respondents who endorsed the CIDI diagnostic stem question for a given disorder and then used a series of stepwise regression analyses to select a subset of screening questions to maximize reproduction of the full CIDI diagnosis. A small number of screening questions, between three and eight for each disorder, was found to account for the significant associations between symptom ratings and CIDI diagnoses. Summary scales made up of these symptom questions correctly classify between 77% and 100% of CIDI cases and between 94% and 99% of CIDI non‐cases in the NCS depending on the diagnosis. Overall classification accuracy ranged from a low of 93% for major depressive episode to a high of over 99% for generalized anxiety disorder. Pilot testing in a nationally representative telephone survey found that the full set of CIDI‐SF scales can be administered in an average of seven minutes compared to over an hour for the full CIDI. The results are quite encouraging in suggesting that diagnostic classifications made in the full CIDI can be reproduced with excellent accuracy with the CIDI‐SF scales. Independent verification of this reproduction accuracy, however, is needed in a data set other than the one in which the CIDI‐SF was developed. Copyright © 1998 Whurr Publishers Ltd.
CIDI
Cite
Citations (2,124)
This article aims to present a dataset on compliance and completeness of the Surgical Safety checklist at Bahir Dar City Administration Public Hospitals. The data showed that of the patient׳s files only 85.1% had the Surgical Safety Checklist and the remaining 14.9% of operations had not used the Surgical Safety Checklist. Of the total 313 Surgical Safety Checklists patient׳s files used, only 102 (32.6%) were complete (all items on the checklist had been 'ticked off') and 67.4% (211/313) were partially complete (all items on the checklist had not been 'ticked off'). Even though the surgical safety checklist was not used in all operations, all three parts of the surgical safety checklist had been 'ticked off' in the majority of the operations among those who utilized the checklist.
Completeness (order theory)
Surgical procedures
Cite
Citations (2)
Objectives: With the release of data from the Canadian Community Health Survey: Mental Health and Weil-Being (Cycle 1.2), researchers have, for the first time, information on several psychiatric disorders from a nationally representative sample of Canadians residing in households. This survey used the Composite International Diagnostic Interview (CIDI) to identify persons with one or more psychiatric disorders. In this paper, our primary purpose was to evaluate the evidence supporting the validity of the CIDI—that is, the extent to which the depression diagnoses generated by the CIDI reflect true cases of depression. Method: We conducted a critical review of the CIDI, focusing on the depression module. Results: Reliability studies indicate that the CIDI performs reliably, as measured by interrater reliability. However, the use of different versions of the CIDI and the occasional exclusion of the Depression module from studies suggest that the reliability of the CIDI Depression module remains unconfirmed. The most critical issue in regard to the CIDI's performance is that clinical samples are used to test validity. A clinical sample has a higher prevalence of depression than a community sample. Conclusion: The results generated by the CIDI in a community setting likely will have a high false-positive rate, resulting in a falsely elevated prevalence rate. Given the widespread application of the CIDI internationally, addressing the outstanding concerns about validity with proper validation studies should become an international priority.
CIDI
Depression
SIGNAL (programming language)
Cite
Citations (41)
The WHO Surgical Safety Checklist was published in 2008 as an attempt to decrease complications and death from surgery. This checklist was implemented and evaluated using questionnaires in an intermediate size general hospital. We attempted to confirm how the WHO checklist has been implemented and assessed as a medical safety system.Using questionnaires, we surveyed anesthesiologists, surgeons and operating room nurses at Kosei Chuo General Hospital regarding the effectiveness of the WHO Surgical Safety Checklist on three occasions (immediately following implementation, after half a year, after one year).Immediately after its implementation, 50% of the anesthesiologists, surgeons and operating room nurses evaluated the checklist positively. That percentage decreased after half a year, and then increased significantly to 85% after one year following the use of our amended checklist.According to our questionnaires, after the adoption of our checklist, which amended the WHO Surgical Safety Checklist, positive evaluation increased significantly after one year, compared with evaluation immediately following implementation. At least one year was required for the checklist to be favorably received by anesthesiologists, surgeons and operating room nurses. We anticipate that the WHO Surgical Safety Checklist, amended to meet the circumstances of individual facilities, will be effectively implemented and firmly established.
Cite
Citations (1)
A review of the literature on the mammals of Nepal revealed a series of checklists improving in accuracy over time. However, there are contradictions in these checklists and there has been no checklist published since 1975. Here, I present a checklist based on a review of the literature on the mammals of Nepal. The Mammals of Nepal comprise 192 species within 37 families in 12 orders.
Cite
Citations (34)
Background: The use of WHO surgical safety checklist results in striking improvements in surgical outcomes and decreases effectively the adverse events; accordingly, it necessitates rapid adoption worldwide. We are going to assess the extent of application of such checklist in our surgical setting. Methods: we surveyed all six hospitals in Mukalla city in three months period (aug- oct 2016), Observations and interviews were conducted using already prepared forms. The data was analyzed by SPSS version 20. Results: Atotal of six hospitals performed 110 procedures during the three months period. The private hospitals implementing the WHO surgical safety checklist more than government hospitals 87.10 % vs 79.39%. (Sign out) part of the checklist was the most applied 86.75% followed by (sign in) and (Time out) 86.37%, 81.08% respectively. The overall application of the standards of the checklist in Mukalla hospitals was 81.77%. Conclusion: The surgical safety checklist of WHO was partially applied in our hospitals. The checklist is a simple tool, which can downloaded freely from the WHO. Adaptation of the checklist to suit local conditions is encouraged.
Surgical procedures
Cite
Citations (0)
Abstract A 21 CFR Part 11 Checklist can satisfy many business, process, and educational needs of companies that use computer systems that must comply with Part 11. This article identifies a strategy for creating your own Part 11 Checklist. Suggestions are presented for: analyzing and sorting the regulations into manageable units; organizing the Checklist; adding supportive information to help users understand and navigate through the Checklist; and including enhancement features such as information mapping and special software. Finally, a sample excerpt from our own Checklist is provided. Copyright © 2002 John Wiley & Sons, Ltd.
Sample (material)
Cite
Citations (0)
You can use this checklist as a means to optimize your own sites. You may want to adjust it according to your own settings. Note that this checklist only contains items related to SEO and performance. The order of the checklist is different from that followed in the book. This checklist is more oriented to an efficient workflow. Often, options for both performance and SEO can be found on the same screen; therefore, and it is more efficient to set these simultaneously.
Cite
Citations (0)