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Objective: Cerebral Palsy is one of the most common neurodevelopmental disorders in children. Due to the increase in the number of students with Cerebral Palsy (CP) entering ordinary schools and facing problems with independent functioning, there is a need for a valid and comprehensive assessment tool for their successful entry as well as providing a proper treatment plan. The School Function Assessment (SFA), by measuring many school-related functional skills, can identify the strengths and weaknesses affecting the students’ independence and participation in school assignments. It has 320 items and three main parts of participation, task support, and activity performance. The test score can be reported in general or based on each part, separately. The purpose of this study is to examine the validity and reliability of the Persian version of the SFA in children with CP.
Materials & Methods: This is a cross-sectional study with methodological design. The study population consists of all children with CP aged 7-12 years in Tehran. Of these, 120 were selected from exceptional public school using a convenience sampling method. The inclusion criteria were: CP diagnosed by a neurologist, age between 7 and 12 years, no other disabilities (e.g. deafness or blindness), and the willingness of children’s parents to participate in the study. A demographic form and the Persian SFA were used for data collection through interview. In order to measure the content validity, Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated according to the standard protocol of International Quality of Life Assessment. In this regard, 8 experts in the field of pediatrics completed the Persian SFA. To determine the test-retest reliability, the questionnaire was completed by the parents of children with a 4-week interval. The internal consistency and test-retest reliability were examined by using Cronbach’s alpha coefficient and Intra-class Correlation Coefficient (ICC), respectively. Data was analyzed in SPSS V. 22 software.
Results: Participants were 64 boys and 56 girls with CP (mean age= 9.4 years). The distribution of CP was as follows: 10% hemiplegic CP, 27.5% diplegic CP, 5.8% monoplegic CP, and 56.7% quadriplegic CP. Eighty hundred-eight percent of respondents were the mothers of students. The CVR and CVI values were in a range of 0.7-1 and 0.87-1, respectively indicating an acceptable validity. All the items had acceptable content validity. The Cronbach’s alpha coefficient was obtained 0.95 for participation, 0.95-0.99 for task support, 0.83-0.99 for activity performance, and 0.92 in total. Moreover, the ICC value was reported 0.90 for participation; 0.84-0.91 for task support; 0.84-0.97 for activity performance; and 0.89 for the overall test.
Conclusion: The Persian version of SFA has acceptable content validity and reliability (internal consistency and test-retest) for children with CP. Therefore, it can be applied as a research and clinical tool to assess the school-related performance of these children.

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Objective: Brain trauma evidences suggest that the two grammatical categories of noun and verb are processed in different regions of the brain due to differences in the complexity of grammatical and semantic information processing. Studies have shown that the verbs belonging to different semantic categories lead to neural activity in different areas of the brain, and action verb processing is related to the activity of motor and pre-motor areas of the brain. Researchers use different tasks to evaluate action verb processing. The most common tasks are action naming and action fluency tasks. Although these types of tasks are sensitive to deficits in action verb processing, they do not specify the nature of the injury. To understand whether dysfunction in action verb processing is due to difficulty in lexical access or specific impairment in semantic processing, it is necessary to design a specific test to evaluate lexical-semantic processing. Semantic Similarity Judgment (SSJ) test targets the lexical-semantic encoding at a deep and controlled processing level. The purpose of the present study was to develop a SSJ test for Persian action verbs and non-action nouns and determine its content validity.
Materials & Methods: In this methodological study, 70 Persian action concrete verbs and 80 Persian non-action concrete nouns were first selected. For each word, a semantically related word based on functional, physical, categorical features and similarity in action was selected according to the opinion of 4 experts (3 speech-language pathologists and one linguist) using a 7-point scale. For semantic similarity rating, only the pairs of words with a high semantic similarity score (5 to 7) remained and the rest were omitted. Then, for each pair of semantically related words, a semantically unrelated word was selected. After determining content validity qualitatively by three experts and removing inappropriate items, for matching the two sets of nouns and verbs, the lexical and psycholinguistic characteristics of the remaining words (207 nouns and 156 verbs) including frequency, number of syllables, phonemes, letters, phonological and orthographic neighbors, action association, imageability, familiarity and age of acquisition were extracted by 18 volunteers (13 speech-language pathologists and linguists and 5 parents selected by a convenience sampling method) based on a 7-point scale. The verbs with low action associations and the nouns with high action association were removed and then, the two sets of words were matched for other lexical and psycholinguistic characteristics. Finally, 34 triples of verbs with high action association and 34 triples of nouns with low action association were selected. In both noun and verb sets, the words were chosen in such a way that, in order to judge, the semantic features of the words need to be carefully considered. Data analysis was performed using descriptive statistics and independent t-test.

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Objective Moral distress may occur when people are unable to follow professional standards and ethical values in their profession. It is a significant issue in the healthcare profession and has negative consequences. In addition, there is a concern that it may adversely affect clinical performance and, in some cases, patient outcomes. Based on the evidence, occupational therapists experience moral distress, Therefore, there is a need for a tool that enables researchers to identify the extent of moral distress in each individual and to measure the effectiveness of strategies designed to reduce distress and prevent employee burnout. The aim of this study was to develop and evaluate the face and content validity of the Moral Distress Questionnaire in occupational therapists.
Materials & Methods This psychometric study was performed in two stages. The first stage involved preparing a pool of questionnaire items, and the second stage examined the face and content validity of the questionnaire. First, texts and related studies were reviewed to extract the questionnaire items. Searching various databases was done to find any conditions that create moral distress in occupational therapy. Three qualitative studies conducted in the field of ethical issues of occupational therapists in the field of psychiatry, children and adults were fully studied. The codes extracted from these studies and the quotations of the interviewees were read. Then the questionnaire items were extracted from the codes, sentences and phrases of the studies. The items were read several times and edited in terms of content clarity, grammar and concept comprehension, and duplicate topics were removed. After preparing the pool of items for the preliminary questionnaire, the scientific stages of face and content validity of the questionnaire were completed. The face validity of the questionnaire was measured qualitatively and quantitatively by 30 occupational therapists who were selected by available sampling from clinics, hospitals and public and private centers. Inclusion criteria were at least one year of work experience in various fields of occupational therapy. Quantitative face validity was performed by determining the impact score of the item. In order to perform qualitative content validity, experts in the field of teaching ethics in occupational therapy and familiar with tool development were invited to review the questionnaire and exchange views in a face-to-face meeting. Seven people participated in the panel of experts. Participants were told that the tool would be an Evaluative tool designed to assess the extent of moral distress among occupational therapists working in clinical settings. After carefully studying the tool, they were asked to consider and comment on the four criteria of clarity, simplicity, transparency, and relevance of items to moral distress. To assess the quantitative content validity of the questionnaire, 20 occupational therapists with doctoral degrees were asked to complete the relevant forms for assessing Content Validity Ratio (CVR) and Content Validity Index (CVI).
Results After reviewing the texts and related studies and analyzing the findings and concepts, a preliminary questionnaire with 50 items was extracted. The items of the questionnaire reached 22 items after completing qualitative and quantitative face and content validity. The impact score of the item was between 2.85 to 4.83. The CVR was in the acceptable range of 0.5 to 1 with an average of 0.7. The CVI of the questionnaire was 0.93.
Conclusion The Moral Distress Questionnaire in Occupational Therapists with 22 items on a four-point scoring scale has appropriate content validity and can be used to measure moral distress in occupational therapists after completing the validity and reliability steps.