Caregiver person-centeredness and behavioral symptoms during mealtime interactions: Development and feasibility of a coding scheme
Caregiver person-centeredness and behavioral symptoms during mealtime interactions: Development and feasibility of a coding scheme
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DOI：
10.1016/j.gerinurse.2015.02.018
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发表时间：
2015-03-01
影响因子：
2.7
通讯作者：
Gilmore-Bykovskyi, Andrea L.
中科院分区：
文献类型：
--
作者：
Gilmore-Bykovskyi, Andrea L.
进餐时的行为症状令人痛苦，并且经常会中断出现这些症状的个人和环境中的其他人的进食。开发了一种计算机辅助编码方案，用于测量患有痴呆症的疗养院居民在进餐互动期间的护理人员以人为本和行为症状。本试点研究的目的是确定编码方案的可行性、易用性和观察者间的可靠性，并探索编码方案的临床实用性。训练有素的观察员对 22 个观察结果进行了编码。参与者可以接受数据收集程序。总体而言，该编码方案被证明是可行的，易于执行，并且在观察者重新训练后产生了良好到非常好的观察者间一致性。该编码方案捕获了临床相关的、可修改的进餐时间行为症状的前因，但通过纳入居民参与的措施和整合用于测量同时发生且观察者难以区分的看护者以人为本的项目，该编码方案将得到增强。 (C) 2015 Elsevier Inc. 保留所有权利。
Mealtime behavioral symptoms are distressing and frequently interrupt eating for the individual experiencing them and others in the environment. A computer-assisted coding scheme was developed to measure caregiver person-centeredness and behavioral symptoms for nursing home residents with dementia during mealtime interactions. The purpose of this pilot study was to determine the feasibility, ease of use, and inter-observer reliability of the coding scheme, and to explore the clinical utility of the coding scheme. Trained observers coded 22 observations. Data collection procedures were acceptable to participants. Overall, the coding scheme proved to be feasible, easy to execute and yielded good to very good inter-observer agreement following observer re-training. The coding scheme captured clinically relevant, modifiable antecedents to mealtime behavioral symptoms, but would be enhanced by the inclusion of measures for resident engagement and consolidation of items for measuring caregiver person-centeredness that co-occurred and were difficult for observers to distinguish. (C) 2015 Elsevier Inc. All rights reserved.