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dc.contributor.authorEccles, Aen
dc.contributor.authorMorris, Ren
dc.contributor.authorKneebone, Ien
dc.date.accessioned2020-05-06T12:25:47Z
dc.date.available2020-05-06T12:25:47Z
dc.date.issued2017-03en
dc.identifier.urihttp://hdl.handle.net/10026.1/15643
dc.description.abstract

OBJECTIVE: To evaluate the psychometric properties of an observational, carer-completed anxiety screen for aphasic stroke patients. DESIGN: Phase 1: A cross-sectional questionnaire design to establish psychometric properties. Phase 2: A randomized longitudinal design with treatment and control to evaluate sensitivity to change and repeatability/reliability. SUBJECTS: Phase 1: 111 patient-carer dyads were recruited through stroke charities: patient mean age 69.7(10. 7), 6.2(5. 2) years since stroke, 76 male; carer mean age 64.7(12. 2), 27 male. Phase 2. A subsample of 50 dyads (29 completed). MEASURES: All patients completed the Tension Rating Circles and the Frenchay Aphasia Screening Test. Carers completed the Behavioural Outcomes of Anxiety questionnaire, observational versions of the Hospital Anxiety and Depression Scale (HADS-A) and the Generalised Anxiety Disorder-7, and a feedback questionnaire. INTERVENTION: Phase 2: 25 dyads were offered relaxation training and 25 acted as controls. RESULTS: The Behavioural Outcomes of Anxiety questionnaire correlated .77 with the HADS-A and Cronbach's Alpha was .82 demonstrating validity and internal consistency. Using HADS-A cut-off > 7 as criterion the area under the curve was 0.90 and at cut-off of > 16 sensitivity (0.85) and specificity (0.85) were both good. Scores declined significantly more in a group given anxiety training ( n = 12) than in a control group ( n = 17), demonstrating sensitivity to change and construct validity. Two-week repeatability/reliability was .92. Feedback suggested the scale was acceptable. CONCLUSIONS: The Behavioural Outcomes of Anxiety questionnaire shows promise as an anxiety screen for stroke patients with aphasia and is sensitive to change. Further analysis of dimensionality and discriminant validity is needed.

en
dc.format.extent369 - 378en
dc.languageengen
dc.language.isoengen
dc.subjectStrokeen
dc.subjectanxietyen
dc.subjectaphasiaen
dc.subjectbehaviouralen
dc.subjectscreeningen
dc.subjectAgeden
dc.subjectAnxiety Disordersen
dc.subjectAphasiaen
dc.subjectApplied Behavior Analysisen
dc.subjectCaregiversen
dc.subjectCross-Sectional Studiesen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectObservationen
dc.subjectPsychometricsen
dc.subjectROC Curveen
dc.subjectReproducibility of Resultsen
dc.subjectStrokeen
dc.subjectSurveys and Questionnairesen
dc.titlePsychometric properties of the Behavioural Outcomes of Anxiety questionnaire in stroke patients with aphasia.en
dc.typeJournal Article
plymouth.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/27121863en
plymouth.issue3en
plymouth.volume31en
plymouth.publication-statusPublisheden
plymouth.journalClin Rehabilen
dc.identifier.doi10.1177/0269215516644311en
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/School of Psychology
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA04 Psychology, Psychiatry and Neuroscience/UoA04 Psychology, Psychiatry and Neuroscience MANUAL
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEnglanden
dc.identifier.eissn1477-0873en
dc.rights.embargoperiodNot knownen
rioxxterms.versionofrecord10.1177/0269215516644311en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.typeJournal Article/Reviewen


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