Please use this identifier to cite or link to this item:
http://repository.kln.ac.lk/handle/123456789/22675
Title: | Validity and clinical utility of a Sinhalese version of the abnormal involuntary movement scale (AIMS) |
Authors: | Baminiwatta, A.K.A.B. Gunesekara, T. Kuruppuarachchi, K.A.L.A. Hapangama, A. Harshini, M.L. Bandara, T.R. Perera, K.M.N. |
Keywords: | abnormal involuntary movement scale |
Issue Date: | 2021 |
Publisher: | Sri Lanka College of Psychiatrists |
Citation: | Sri Lanka Journal of Psychiatry.2021;12(1): 25–30. |
Abstract: | INTRODUCTION: Tardive dyskinesia (TD) is a movement disorder caused by long-term treatment with dopamine antagonists such as antipsychotics. As there is no medication universally effective for TD, prevention is important. We propose that non-medical clinicians working in psychiatry can also be trained and involved in a screening programme for TD. To facilitate such a programme, validation of a standard tool translated to Sinhala is a need. AIMS: To translate and validate the Abnormal Involuntary Movement Scale (AIMS) into Sinhala. METHODS: Translation and pilot testing followed standard guidelines. The translated version was administered by five raters (two registrars in psychiatry, a medical officer, a community psychiatry nurse (CPN) and a psychiatric social worker) amongst patients treated with antipsychotic medication for a minimum of one year. The goldstandard diagnosis was the Diagnostic and Statistical Manual (DSM)-5 criteria, applied by a psychiatrist. RESULTS: Of the 137 patients screened (53.3% male; mean age = 49 years), the percentage of patients diagnosed with TD using AIMS and DSM-5 were 33% and 34%, respectively. The sensitivity and specificity of AIMS in detection of TD were 67% and 83.4% respectively. The degree of agreement between the AIMS and DSM- 5 indicated moderate criterion validity (Cohen's kappa= 0.5). For different raters, the agreement with the psychiatrist's diagnosis (kappa) ranged from 0.41 (CPN) to 0.63 (registrar), indicating modest reliability between raters. CONCLUSIONS: Our findings provide preliminary evidence for the validity of AIMS in detecting TD among Sinhalaspeaking patients, when administered by a range of mental health professionals. KEYWORDS: Tardive dyskinesia, Abnormal involuntary movement scale |
Description: | Not indexed in MEDLINE |
URI: | http://repository.kln.ac.lk/handle/123456789/22675 |
ISSN: | 2579-2008 |
Appears in Collections: | Journal/Magazine Articles |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Validity and clinical utility.pdf | 214.61 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.