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Socioeconomic status was assessed using a scoring instrument incorporating a checklist of material possessions, house structure, living density, food resources and access to electricity and clean water.
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26 Central reading of video endoscopies in near-real time, using a validated scoring instrument, 27 may be a more practical approach to independent confirmation of disease activity for such patients.
Pain was also evaluated at each in-clinic visit using the visual analog scoring instrument (VAS).
Six out of the 13 hospitals used more than one risk scoring instrument to calculate a risk score, being the following: GRACE (12/13 hospitals), TIMI (3/13 hospitals), FRISC (1/13 hospitals) and the HEART risk score (6/13 hospitals; table 3).
There are two alternatives seen in literature; the first is to use a scoring team familiar with the ACIC instrument [ 27] and the second is to try to capture the original idea of an item [ 28].
Mental state was assessed using two clinician-rated scoring instruments, Hamilton's Anxiety Scale (HAM-A) and Montgomery-Åsberg's Depression Rating Scale (MADRS), and a patient-rated scoring instrument, Beck's Depression Inventory (BDI).
This scoring instrument might thus be used for identification of subjects with less advanced immunosuppression (CD4 ≥100 cells/mm).
The pre and post training performance in relation to authenticity of role play and quality of feedback was blindly assessed by students and tutors using a validated instrument and the scores were compared.
Each study included in the analysis was assigned a quality score using a previously published instrument.
Before and after the intervention, KAP scores were assessed using a questionnaire-based instrument, which was construct-validated against key clinical learning outcomes.
Quality assessments of the included studies were conducted in three phases independently by two authors (AR and SC) using the appropriate scoring instruments and rating scales described in each phase, with consensus reached through discussion and comparison of scoring sheets.
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