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The Mental Disability Military Assessment Tool: A Reliable Tool for Determining Disability in Veterans with Post-traumatic Stress Disorder

Purpose An assessment tool was developed to assess disability in veterans who suffer from post-traumatic stress disorder (PTSD) due to a military mission. The objective of this study was to determine the reliability, intra-rater and inter-rater variation of the Mental Disability Military (MDM) asses...

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Published in:Journal of occupational rehabilitation 2015-09, Vol.25 (3), p.569-576
Main Authors: Fokkens, Andrea S., Groothoff, Johan W., van der Klink, Jac J. L., Popping, Roel, Stewart, Roy E., van de Ven, Lex, Brouwer, Sandra, Tuinstra, Jolanda
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cited_by cdi_FETCH-LOGICAL-c542t-3feeca8f86e890364b96bb0af50d848f4099b929cebf028909e68dd4c899dcd73
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container_end_page 576
container_issue 3
container_start_page 569
container_title Journal of occupational rehabilitation
container_volume 25
creator Fokkens, Andrea S.
Groothoff, Johan W.
van der Klink, Jac J. L.
Popping, Roel
Stewart, Roy E.
van de Ven, Lex
Brouwer, Sandra
Tuinstra, Jolanda
description Purpose An assessment tool was developed to assess disability in veterans who suffer from post-traumatic stress disorder (PTSD) due to a military mission. The objective of this study was to determine the reliability, intra-rater and inter-rater variation of the Mental Disability Military (MDM) assessment tool. Methods Twenty-four assessment interviews of veterans with an insurance physician were videotaped. Each videotaped interview was assessed by a group of five independent raters on limitations of the veterans using the MDM assessment tool. After 2 months the raters repeated this procedure. Next the intra-rater and inter-rater variation was assessed with an adjusted version of AG09 computing weighted percentage agreement. Results The results of this study showed that both the intra-rater variation and inter-rater variation on the ten subcategories of the MDM assessment tool were small, with an agreement of 84–100 % within raters and 93–100 % between raters. Conclusions The MDM assessment tool proves to be a reliable instrument to measure PTSD limitations in functioning in Dutch military veterans who apply for disability compensation. Further research is needed to assess the validity of this instrument.
doi_str_mv 10.1007/s10926-014-9563-0
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Next the intra-rater and inter-rater variation was assessed with an adjusted version of AG09 computing weighted percentage agreement. Results The results of this study showed that both the intra-rater variation and inter-rater variation on the ten subcategories of the MDM assessment tool were small, with an agreement of 84–100 % within raters and 93–100 % between raters. Conclusions The MDM assessment tool proves to be a reliable instrument to measure PTSD limitations in functioning in Dutch military veterans who apply for disability compensation. Further research is needed to assess the validity of this instrument.</description><identifier>ISSN: 1053-0487</identifier><identifier>EISSN: 1573-3688</identifier><identifier>DOI: 10.1007/s10926-014-9563-0</identifier><identifier>PMID: 25573017</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Armed forces ; Clinical Psychology ; Compensation ; Disability ; Disability Evaluation ; Disability management ; Disabled Persons - psychology ; Environmental Health ; Female ; Health Psychology ; Humans ; Interview, Psychological ; Interviews ; Male ; Medicine ; Medicine &amp; Public Health ; Military ; Military aspects ; Military Medicine - methods ; Military service ; Netherlands ; Observer Variation ; Occupational Medicine/Industrial Medicine ; Orthopedics ; People with disabilities ; Physical instruments ; Post traumatic stress disorder ; Rehabilitation ; Reproducibility of Results ; Stress Disorders, Post-Traumatic - diagnosis ; Studies ; Trauma ; Veterans ; Veterans - psychology</subject><ispartof>Journal of occupational rehabilitation, 2015-09, Vol.25 (3), p.569-576</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>COPYRIGHT 2015 Springer</rights><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c542t-3feeca8f86e890364b96bb0af50d848f4099b929cebf028909e68dd4c899dcd73</citedby><cites>FETCH-LOGICAL-c542t-3feeca8f86e890364b96bb0af50d848f4099b929cebf028909e68dd4c899dcd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1704936645/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1704936645?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,11688,21394,27924,27925,33611,33612,36060,36061,43733,44363,74221,74895</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25573017$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fokkens, Andrea S.</creatorcontrib><creatorcontrib>Groothoff, Johan W.</creatorcontrib><creatorcontrib>van der Klink, Jac J. 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Each videotaped interview was assessed by a group of five independent raters on limitations of the veterans using the MDM assessment tool. After 2 months the raters repeated this procedure. Next the intra-rater and inter-rater variation was assessed with an adjusted version of AG09 computing weighted percentage agreement. Results The results of this study showed that both the intra-rater variation and inter-rater variation on the ten subcategories of the MDM assessment tool were small, with an agreement of 84–100 % within raters and 93–100 % between raters. Conclusions The MDM assessment tool proves to be a reliable instrument to measure PTSD limitations in functioning in Dutch military veterans who apply for disability compensation. 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L.</au><au>Popping, Roel</au><au>Stewart, Roy E.</au><au>van de Ven, Lex</au><au>Brouwer, Sandra</au><au>Tuinstra, Jolanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Mental Disability Military Assessment Tool: A Reliable Tool for Determining Disability in Veterans with Post-traumatic Stress Disorder</atitle><jtitle>Journal of occupational rehabilitation</jtitle><stitle>J Occup Rehabil</stitle><addtitle>J Occup Rehabil</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>25</volume><issue>3</issue><spage>569</spage><epage>576</epage><pages>569-576</pages><issn>1053-0487</issn><eissn>1573-3688</eissn><abstract>Purpose An assessment tool was developed to assess disability in veterans who suffer from post-traumatic stress disorder (PTSD) due to a military mission. The objective of this study was to determine the reliability, intra-rater and inter-rater variation of the Mental Disability Military (MDM) assessment tool. Methods Twenty-four assessment interviews of veterans with an insurance physician were videotaped. Each videotaped interview was assessed by a group of five independent raters on limitations of the veterans using the MDM assessment tool. After 2 months the raters repeated this procedure. Next the intra-rater and inter-rater variation was assessed with an adjusted version of AG09 computing weighted percentage agreement. Results The results of this study showed that both the intra-rater variation and inter-rater variation on the ten subcategories of the MDM assessment tool were small, with an agreement of 84–100 % within raters and 93–100 % between raters. Conclusions The MDM assessment tool proves to be a reliable instrument to measure PTSD limitations in functioning in Dutch military veterans who apply for disability compensation. Further research is needed to assess the validity of this instrument.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25573017</pmid><doi>10.1007/s10926-014-9563-0</doi><tpages>8</tpages></addata></record>
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subjects Adult
Armed forces
Clinical Psychology
Compensation
Disability
Disability Evaluation
Disability management
Disabled Persons - psychology
Environmental Health
Female
Health Psychology
Humans
Interview, Psychological
Interviews
Male
Medicine
Medicine & Public Health
Military
Military aspects
Military Medicine - methods
Military service
Netherlands
Observer Variation
Occupational Medicine/Industrial Medicine
Orthopedics
People with disabilities
Physical instruments
Post traumatic stress disorder
Rehabilitation
Reproducibility of Results
Stress Disorders, Post-Traumatic - diagnosis
Studies
Trauma
Veterans
Veterans - psychology
title The Mental Disability Military Assessment Tool: A Reliable Tool for Determining Disability in Veterans with Post-traumatic Stress Disorder
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