PURPOSE: This study aimed to determine the within- and between-day reliability as well as the concurrent validity of 2-D and 3-D motion analysis of lower limb kinematics during 45° and 60° SLS among physically active females with and without DKV.
STUDY DESIGN: Cross-sectional study.
METHODS: A total of 34 physically active females (17 individuals with excessive DKV and 17 without DKV) participated in the study. Their DKV was determined based on the cut-off values of knee frontal plane projection angle during drop landing. Their lower limb kinematics during SLS at 45° and 60° knee flexion were captured simultaneously by digital cameras (2-D motion capture) and infrared cameras (3-D motion capture). Intraclass Correlation Coefficient (ICC) was used as an indicator for within- and between-day reliability tests of both groups. Bland-Altman Plot and Pearson correlation were used to examine the validity of 2-D and 3-D motion capture methods in evaluating knee valgus angle.
RESULTS: Two-dimensional knee FPPA and 3-D knee angle measured during 45° and 60° SLS in normal and excessive DKV groups showed moderate to excellent within-day and between-day reliability (ICC≥ 0.50). The current study showed that the 2-D knee frontal plane projection angle (FPPA) during 45° SLS were valid for the non-dominant leg in both groups. Additionally, the 2-D knee FPPA during 60° SLS were valid for non-dominant leg in excessive DKV group and dominant leg in normal group.
CONCLUSION: Two-dimensional knee FPPA during 45° and 60° SLS also showed high within-and between-day reliability for both groups. The validity of 2-D knee FPPA during SLS depends on the squat depth, stance leg, and presence of DKV.
LEVEL OF EVIDENCE: 2B.
DESIGN/METHODOLOGY/APPROACH: This cross-sectional study comprised 252 patients visiting HUSM. Patients were selected using the convenience sampling method. The PGQ (Bahasa Melayu version) had three main factors: during your visit; your care provider and overall assessment. Data were analyzed using the structural equation modeling.
FINDINGS: The exploratory factor analysis resulted in item reduction from 21 to 17, which contained four factors with eigenvalues greater than 1. Meanwhile, confirmatory factor analysis results showed that data fitted the model: χ2/df at 1.764, comparative fit index at 0.952, Tucker-Lewis index at 0.941 and root mean square error of approximation at 0.073. The average variance extracted value for the four factors was greater than 0.50, which indicated that PGQ convergent validity was met. Overall, PGQ produced good reliability with composite reliability score equals to 0.966. Four factors were reclassified as "during your registration," "hospital staff attitude," "doctor's attitude" and "overall assessment."
RESEARCH LIMITATIONS/IMPLICATIONS: Patient satisfaction is an important and frequently used indicator for measuring healthcare quality; hence, a validated and reliable instrument is important for measuring patient satisfaction that leads to healthcare service quality assessment.
PRACTICAL IMPLICATIONS: Validated PGQ provides some useful information for doctors, medical assistants, nurses and staff in the emergency department to help them become more prominent and efficient in their role as healthcare providers.
SOCIAL IMPLICATIONS: Validated PGQ will help healthcare providers to deliver the best and exceptional care toward emergency patient, and thus improve their quality of work life. The findings in this study can be used as a guide or as baseline data for further research in this area.
ORIGINALITY/VALUE: The PQG (Bahasa Melayu version) was confirmed as a reliable and valid instrument for measuring patient satisfaction. This research is the first PGQ validation study in Southeast Asia, specifically focusing on Malaysian respondents.
OBJECTIVES: This paper aims to identify requirements in developing a breast examination awareness mobile app based on the component of the Health Belief Model (HBM) for integration in health promotion strategy.
METHODS: A qualitative approach using semi-structured in-depth interview was utilized in this study. A purposive sampling method was conducted among public women attending hospital services, software and content experts in a tertiary teaching hospital in the East coast of Peninsular Malaysia. These interviews were recorded, transcribed and organized using NVIVO 11. The main themes were identified through thematic analysis of the interview transcripts. Results: A total of 37 participants recruited in this study. The themes that emerged from the analysis are vulnerability, forecasting, reactive, influence, outcome and obstacles. The sub-themes findings supported the HBM's component in terms of the requirement for are an infographic risk factor, video (symptoms, self-examination), info (metastasis, survival, screening, triple assessment, treatment, myth and facts, benefit of early treatment, support groups), features (screening reminder, sharing button, prompt) and mobile app's design.
CONCLUSION: The research findings could provide a guide for future app development from public women, content and software experts. The information will be used to develop a breast examination awareness mobile app integrated with health theories.