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Goodman [ 15] gives some evidence to support the use of the externalization/internalization dimensions to screen for difficulties when surveying low prevalence populations.
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The test simultaneously screens for difficulties with vision, movement, and comprehension and ascertains whether the subject can follow simple instructions.
Scored on a 30-point scale, the MMSE screens for difficulties in episodic memory, orientation, working memory, naming, language, and image copying.
Current recommendations, combined with our finding that patients want physicians to address their emotional difficulties, support the need for more efficient strategies to screen for these difficulties.
This suggests that the ECLiPS has the potential to support clinical practice by providing a rapid preliminary screen for cognitive difficulties, which may be contributing factors in both listening and language difficulties.
The scales assessing the risk of falls by Runge and Rehfeld [ 17] and Oliver et al. (STRATIFY) [ 18] were used as screening instruments for difficulties in mobility associated with a risk of falls.
Diabetes physicians may not feel comfortable or qualified to assess patients' emotional difficulties because they have not received formal training in screening for these difficulties and do not have the resources/referral patterns necessary to provide patients with psychological support (4).
Edward Duff, of the Children's Legal Centre at Essex University, said: "Every case of persistent disruption in my experience has led to SEN involvement and we need to find out more about how much screening for behavioural difficulties and special needs is going on.
These results add support to the feasibility of screening for reading difficulties in the clinical practice setting.
In addition to screening for the difficulties stated above, the present study also screened for psychological adjustment in this community sample of children.
The KPCS tool, a 15-item perceived parental self-efficacy measure, is useful clinically in screening for parenting difficulties, targeting interventions and evaluating outcomes [ 64].
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