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2011-2012 Class 6 Introduction to Medicine II REGENT TEACHER: ALTAMIRO COSTA PEREIRA SUPERVISOR TEACHERS: CRISTINA DA COSTA SANTOS GUSTAVO BACELAR DIFFERENT SCALES: DIFFERENT ANSWERS?

2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

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Page 1: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

2011-2012Class 6Introduction to Medicine II

REGENT TEACHER: ALTAMIRO COSTA PEREIRA

SUPERVISOR TEACHERS: CRISTINA DA COSTA SANTOS GUSTAVO BACELAR

DIFFERENT SCALES:

DIFFERENT ANSWERS?

Page 2: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Summary:

Introduction Aim Methods Questionnaire Results – 1st phase Conclusion References

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 3: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Introduction

The QUESTIONNAIRE DESIGN influences

the quality of questionnaire results, which are

also related to the CHOICE OF THE SCALE

used in the questionnaire1.

DIFFERENT SCALES: DIFFERENT ANSWERS?

1Pires, M.D., G. Oliveira, and M. Behlau, Voice Activity and Participation Profile - VAPP administered in two different scales of response. J Soc Bras Fonoaudiol, 2011. 23(3): p. 297-300.

Page 4: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Introduction

DIFFERENT SCALES: DIFFERENT ANSWERS?

Visual Analogue Scale

Numeric Rating Scale

Numeric Analogue Scale

vs.

vs.

Page 5: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Aim

Finding out how different scales,

particularly VAS, VNS and NRS, can

influence an answer.

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 6: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

MethodsDIFFERENT SCALES: DIFFERENT ANSWERS?

Page 7: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Methods

Codified study, to maintain

confidentiality

Longitudinal study

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 8: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Questionnaire Description

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 9: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

An example…

QUESTIONNAIRE A

Uso com frequência a internet para fazer downloads (por exemplo de software ou mp3, AVI de series ou músicas) __________

(Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Refira a sua concordância com as seguintes afirmações:

QUESTIONNAIRE B

Uso com frequência a internet para fazer downloads (por exemplo de software ou mp3, AVI de series ou músicas) __________

(Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Page 10: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

An example…

Refira a sua concordância com as seguintes afirmações:QUESTIONNAIRE A

Acedo frequentemente a motores de busca para pesquisa de informação (por exemplo Google, SAPO, Clix, …)

 (Marque uma cruz na recta no local que lhe parece estar de acordo com a sua

resposta)

Concordo totalmente

Discordo totalmente

QUESTIONNAIRE B

Acedo frequentemente a motores de busca para pesquisa de informação (por exemplo Google, SAPO, Clix, …)

 (Marque uma cruz na recta no local que lhe parece estar de acordo com a sua

resposta)Concordo totalmente

Discordo totalmente

1 2 3 4 5 6 7 8 9 10

Page 11: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Fluxogram

Page 12: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 13: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

During March we’ve handled the first questionnaire to every student in the trial.

The second phase will occur in some

weeks, a month after the first prove.

DIFFERENT SCALES: DIFFERENT ANSWERS?

Progress

Page 14: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

We are now analysing the results with SPSS, to gather together the first group of results,to compare them later.

DIFFERENT SCALES: DIFFERENT ANSWERS?

Progress

Page 15: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

So far, everybody has been very cooperative and we are positive that

we will have solid and concret data by the end of our project.

DIFFERENT SCALES: DIFFERENT ANSWERS?

Progress

Page 16: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Page 17: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Género: Feminino Masculino

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

População:

Page 18: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

DIFFERENT SCALES: DIFFERENT ANSWERS?

Refira a sua concordância com as seguintes afirmações: 

Uso com frequência a internet para fazer downloads (por exemplo de software ou mp3, AVI de series ou músicas) __________

(Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Page 19: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

ResultsRefira a sua concordância com as seguintes afirmações: 

Uso com frequência a internet para fazer downloads (por exemplo de software ou mp3, AVI de series ou músicas) __________

(Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Page 20: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

ResultsDiscordo

totalmenteConcordo

totalmente

1.Jogo frequentemente on-line (por exemplo Travian, Counter-strike, …)(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 21: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

ResultsDiscordo

totalmenteConcordo

totalmente

1.Jogo frequentemente on-line (por exemplo Travian, Counter-strike, …)(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 22: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results1.No meu estudo recorro frequentemente à internet (por exemplo procurar informação para trabalhos, aceder a livros/revistas e material didáctico, procura de definições, …)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Discordo totalmente

Concordo totalmente0 1 2 3 4 5 6 7 8 9

10

Page 23: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results1.No meu estudo recorro frequentemente à internet (por exemplo procurar informação para trabalhos, aceder a livros/revistas e material didáctico, procura de definições, …)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Discordo totalmente

Concordo totalmente0 1 2 3 4 5 6 7 8 9

10

Page 24: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

ResultsComunico com amigos/familiares frequentemente pela internet (por exemplo facebook, twitter, msn,…) __________

 (Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Page 25: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Discordo totalmente

Concordo totalmente

1.Comunico com amigos/familiares frequentemente pela internet (por exemplo facebook, twitter, msn,…)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 26: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Discordo totalmente

Concordo totalmente

2 3 9 104 5 6 7 81

1.Acedo frequentemente a informação diária na internet (por exemplo ler notícias de jornais/revistas, visualizar vídeos informativos, …)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 27: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

ResultsAcedo frequentemente a informação diária na internet (por exemplo ler notícias de jornais/revistas, visualizar vídeos informativos, …) __________

(Escreva um número de 0 a 10, em que 0 corresponde a “discordo totalmente” e 10 corresponde a “concordo totalmente”)

Page 28: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Discordo totalmente

Concordo totalmente

1.Acedo frequentemente a motores de busca para pesquisa de informação (por exemplo Google, SAPO, Clix, …)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 29: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Discordo totalmente

Concordo totalmente

2 3 9 104 5 6 7 81

1.Acedo frequentemente a motores de busca para pesquisa de informação (por exemplo Google, SAPO, Clix, …)

(Marque uma cruz na recta no local que lhe parece estar de acordo com a sua resposta)

Page 30: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

 1st QuestionnaireMedian (min-max)

2nd QuestionnaireMedian (min-max)

Reproducibility

NRS 7,442 (0,0 – 10,0) ? ?

VAS 1,331 (0,0 – 8,0) ? ?

VNS 7,436 (0,0 – 10,0) ? ?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

Reproductibility

Page 31: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

DIFFERENT SCALES: DIFFERENT ANSWERS?

Results

       

  Median (min-max) Median (min-max) Agreement

NRS vs VAS 7,442 (0,0 – 10,0) ? ?

VNS vs NRS1,331 (0,0 – 8,0)

? ?

VAS vs VNS7,436 (0,0 – 10,0)

? ?

Agreement

Page 32: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

ConclusionWith the this first

questionnaires, we

have gathered

together some data

that will hopefully

help us to reach a

final conclusion.

DIFFERENT SCALES: DIFFERENT ANSWERS?

Page 33: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

References

DIFFERENT SCALES: DIFFERENT ANSWERS?

Bousquet, P.J., et al., Visual analog scales can assess the severity of rhinitis graded according to ARIA guidelines. Allergy, 2007. 62(4): p. 367-372.

Choi, B.C. and A.W. Pak, A catalog of biases in questionnaires. Prev Chronic Dis, 2005. 2(1): p. A13.

Hartman, J.M., et al., Tutorials in clinical research: part IV: recognizing and controlling bias. Laryngoscope, 2002. 112(1): p. 23-31.

Hogikyan, N.D. and C.A. Rosen, A review of outcome measurements for voice disorders. Otolaryngol Head Neck Surg, 2002. 126(5): p. 562-72.

Pesudovs, K., et al., The development, assessment, and selection of questionnaires. Optometry and Vision Science, 2007. 84(8): p. 663-674.

Pires, M.D., G. Oliveira, and M. Behlau, Voice Activity and Participation Profile - VAPP administered in two different scales of response. J Soc Bras Fonoaudiol, 2011. 23(3): p. 297-300.

Price, D.D., et al., A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scales. Pain, 1994. 56(2): p. 217-26.

Rouve, S., et al., Numeric score and visual analog scale in assessing seasonal allergic rhinitis severity. Rhinology, 2010. 48(3): p. 285-91.

Schiavetti, N., et al., Direct magnitude estimation and interval scaling of stuttering severity. J Speech Hear Res, 1983. 26(4): p. 568-73.

Page 34: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

Class 6

DIFFERENT SCALES: DIFFERENT ANSWERS?

Ana Carvalho

Diana Castro

Inês Farinha

Joana Cabrera

João Sousa

João Costa

Mariana Costa

Rita Pereira

Tânia Pereira

Page 35: 2011-2012 Class 6 Introduction to Medicine II DIFFERENT SCALES: DIFFERENT ANSWERS? DIFFERENT SCALES: DIFFERENT ANSWERS?

2011-2012Class 6Introduction to Medicine II

REGENT TEACHER: ALTAMIRO COSTA PEREIRA

SUPERVISOR TEACHERS: CRISTINA DA COSTA SANTOS GUSTAVO BACELAR

DIFFERENT SCALES:

DIFFERENT ANSWERS?