Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China.
Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China.
复制标题
国际痴呆联盟时间表在中国评估和分期护理的信度和效度
DOI：
10.1186/s12888-017-1544-3
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发表时间：
2017-11-21
期刊：
影响因子：
4.4
通讯作者：
Wang H
中科院分区：
文献类型：
--
作者：
Wang X;Sun Z;Xiong L;Semrau M;He J;Li Y;Zhu J;Zhang N;Wang A;Jiang Q;Mu N;Zhao Y;Chen W;Wu D;Zheng Z;Sun Y;Zhang J;Xu J;Meng X;Zhao M;Zhang H;Lv X;Sartorius N;Li T;Yu X;Wang H
背景临床和社会服务对痴呆症护理都很重要。制定了国际痴呆症联盟(IDEA)护理评估和分期时间表，以指导痴呆症的临床和社会护理。本研究旨在评估理想量表在中国的效度和信度。方法从中国所在的15家医院招募282名痴呆患者及其照顾者。由评价员和观察者同时对每个患者-照顾者二人组进行理想的时间表评估。采用临床痴呆量表(CDR)、简易精神状态检查(MMSE)和照顾者负担问卷(CBI)评定标准效度。在初次访谈后7-10天对62名患者进行理想重复评估。结果277名患者-照顾者双方完成了理想评估。理想量表总分的评分者间信度为0.93(95%CI = 0.92~0.95)。总分的班际相关系数面试者为0.95，沉默评分者为0.93。理想总分与ρ = 总分( 为0.001)、BOX总分(CDR-SOB，ρ = 为0.74， 为0.001)、MMSE总分(ρ = −为0.65，P<； 为0.001)、CBI总分(ρ = 为0.70，P<； 为0.001)呈正相关。理想量表的各条目得分与ρ = -SOB呈正相关( 为0.17~0.79，P均<0.0 5)。结论理想量表是中国人群痴呆护理分期的有效工具。
BackgroundClinical and social services both are important for dementia care. The International Dementia Alliance (IDEAL) Schedule for the Assessment and Staging of Care was developed to guide clinical and social care for dementia. Our study aimed to assess the validity and reliability of the IDEAL schedule in China.MethodsTwo hundred eighty-two dementia patients and their caregivers were recruited from 15 hospitals in China. Each patient-caregiver dyad was assessed with the IDEAL schedule by a rater and an observer simultaneously. The Clinical Dementia Rating (CDR), Mini-Mental Status Examination (MMSE), and Caregiver Burden Inventory (CBI) were assessed for criterion validity. IDEAL repeated assessment was conducted 7-10 days after the initial interview for 62 dyads.ResultsTwo hundred seventy-seven patient-caregiver dyads completed the IDEAL assessment. Inter-rater reliability for the total score of the IDEAL schedule was 0.93 (95%CI = 0.92-0.95). The inter-class coefficient for the total score of IDEAL was 0.95 for the interviewers and 0.93 for the silent raters. The IDEAL total score correlated with the global CDR score (ρ = 0.72,p< 0.001), the CDR-sum of box (CDR-SOB, ρ = 0.74,p< 0.001), the total score of MMSE (ρ = −0.65,p< 0.001) and CBI (ρ = 0.70,p< 0.001). All item scores of the IDEAL schedule were associated with the CDR-SOB (ρ = 0.17 ~ 0.79, allp< 0.05).ConclusionThe IDEAL schedule is a valid and reliable tool for the staging of care for dementia in the Chinese population.
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影响因子：
4
作者：
Semrau, Maya;Burns, Alistair;Sartorius, Norman
通讯作者：
Sartorius, Norman
影响因子：
2.5
作者：
Chou, KR;Jiann-Chyun, L;Chu, H
通讯作者：
Chu, H
影响因子：
--
作者：
WELSH, KA;BUTTERS, N;HEYMAN, A
通讯作者：
HEYMAN, A
影响因子：
4
作者：
Green, Ariel Frank;Rebok, George;Lyketsos, Constantine G.
通讯作者：
Lyketsos, Constantine G.
影响因子：
4.8
作者：
FOLSTEIN, MF;FOLSTEIN, SE;MCHUGH, PR
通讯作者：
MCHUGH, PR