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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 |
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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 |
format | article |
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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.</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 & 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. L.</creatorcontrib><creatorcontrib>Popping, Roel</creatorcontrib><creatorcontrib>Stewart, Roy E.</creatorcontrib><creatorcontrib>van de Ven, Lex</creatorcontrib><creatorcontrib>Brouwer, Sandra</creatorcontrib><creatorcontrib>Tuinstra, Jolanda</creatorcontrib><title>The Mental Disability Military Assessment Tool: A Reliable Tool for Determining Disability in Veterans with Post-traumatic Stress Disorder</title><title>Journal of occupational rehabilitation</title><addtitle>J Occup Rehabil</addtitle><addtitle>J Occup Rehabil</addtitle><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.</description><subject>Adult</subject><subject>Armed forces</subject><subject>Clinical Psychology</subject><subject>Compensation</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Disability management</subject><subject>Disabled Persons - psychology</subject><subject>Environmental Health</subject><subject>Female</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Interviews</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Military</subject><subject>Military aspects</subject><subject>Military Medicine - methods</subject><subject>Military service</subject><subject>Netherlands</subject><subject>Observer Variation</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Orthopedics</subject><subject>People with disabilities</subject><subject>Physical instruments</subject><subject>Post traumatic stress disorder</subject><subject>Rehabilitation</subject><subject>Reproducibility of Results</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Studies</subject><subject>Trauma</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><issn>1053-0487</issn><issn>1573-3688</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>M0C</sourceid><sourceid>M2R</sourceid><recordid>eNp1kcFu1TAQRSNERUvhA9ggS2zYpB0nTmKze2qhILUCwYOt5TjjV1eJ3dqOUH-Br67T15aCQF7Ymjn3asa3KF5ROKAA3WGkIKq2BMpK0bR1CU-KPdp0dVm3nD_Nb2hykfFut3ge4wUACN5Vz4rdqskU0G6v-LU-R3KGLqmRHNuoejvadE3OlkuFa7KKEWOcMkDW3o_vyIp8xdGqfsTbAjE-kGNMGCbrrNs8NrGO_Fg6ykXy06Zz8sXHVKag5kklq8m3FLL3ovBhwPCi2DFqjPjy7t4vvn94vz76WJ5-Pvl0tDotdcOqVNYGUStueItcQN2yXrR9D8o0MHDGDQMhelEJjb2BKiMCWz4MTHMhBj109X7xdut7GfzVjDHJyUaN46gc-jlK2sHt71CW0Td_oRd-Di5Pt1BM1G3Lmt_URo0orTM-76gXU7nqKBMdFWLxOvgHlc-Ak9XeobG5_oeAbgU6-BgDGnkZ7JRDkRTkkr_c5i9z_nLJX0LWvL4beO4nHB4U94FnoNoCMbfcBsOjjf7regPe2bq2</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Fokkens, Andrea S.</creator><creator>Groothoff, Johan W.</creator><creator>van der Klink, Jac J. L.</creator><creator>Popping, Roel</creator><creator>Stewart, Roy E.</creator><creator>van de Ven, Lex</creator><creator>Brouwer, Sandra</creator><creator>Tuinstra, Jolanda</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7TS</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>L.0</scope><scope>L6V</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M7S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150901</creationdate><title>The Mental Disability Military Assessment Tool: A Reliable Tool for Determining Disability in Veterans with Post-traumatic Stress Disorder</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c542t-3feeca8f86e890364b96bb0af50d848f4099b929cebf028909e68dd4c899dcd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Armed forces</topic><topic>Clinical Psychology</topic><topic>Compensation</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Disability management</topic><topic>Disabled Persons - psychology</topic><topic>Environmental Health</topic><topic>Female</topic><topic>Health Psychology</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Interviews</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Military</topic><topic>Military aspects</topic><topic>Military Medicine - methods</topic><topic>Military service</topic><topic>Netherlands</topic><topic>Observer Variation</topic><topic>Occupational Medicine/Industrial Medicine</topic><topic>Orthopedics</topic><topic>People with disabilities</topic><topic>Physical instruments</topic><topic>Post traumatic stress disorder</topic><topic>Rehabilitation</topic><topic>Reproducibility of Results</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Studies</topic><topic>Trauma</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fokkens, Andrea S.</creatorcontrib><creatorcontrib>Groothoff, Johan W.</creatorcontrib><creatorcontrib>van der Klink, Jac J. L.</creatorcontrib><creatorcontrib>Popping, Roel</creatorcontrib><creatorcontrib>Stewart, Roy E.</creatorcontrib><creatorcontrib>van de Ven, Lex</creatorcontrib><creatorcontrib>Brouwer, Sandra</creatorcontrib><creatorcontrib>Tuinstra, Jolanda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>Global News & ABI/Inform Professional</collection><collection>Trade PRO</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Physical Education Index</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Professional Standard</collection><collection>ProQuest Engineering Collection</collection><collection>ABI/INFORM Global (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Healthcare Administration Database</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest research library</collection><collection>Social Science Database</collection><collection>Engineering Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>One Business (ProQuest)</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of occupational rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fokkens, Andrea S.</au><au>Groothoff, Johan W.</au><au>van der Klink, Jac J. 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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