Formation and validation of a telephone battery to assess cognitive function in acute respiratory distress syndrome survivors

Formation and validation of a telephone battery to assess cognitive function in acute respiratory distress syndrome survivors
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DOI:
10.1016/j.jcrc.2005.11.004
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发表时间:
2006-06-01
影响因子:
3.7
通讯作者:
Hopkins, Ramona O.
Hopkins, Ramona O.
中科院分区:
医学3区
文献类型:
--
作者:
Christie, Jason D.;Biester, Rosette C. (Plotkin);Hopkins, Ramona O.

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目的:描述由已建立的工具组成的测试组的初步开发和验证,该测试组旨在通过电话访谈来检测急性呼吸窘迫综合征幸存者的认知异常。方法:进行了两个横断面研究,包括以下两个阶段:(1)初始组件构建,(2)可行性,(3)条目减少,(4)收敛和发散效度,(5)电话管理与面对面访谈在单独的人群中进行比较。结果:在派生人群中检测到广泛的认知功能,所有受试者都完成了访谈。认知障碍与中度/重度焦虑(P=.008)、疾病影响概况心理社会总分(平均差异15.3;95%CI,7.74-22.9;P=.0001)和简式36的心理健康领域有趋同。有认知障碍的受试者在简明36量表的身体功能领域没有明显的差异。当对验证人群进行电话测试时,记忆、注意力、推理和执行功能的电话测试与面对面访谈有很好的组内相关性(P
Purpose: Describe initial development and validation of a test battery composed of established instruments designed to detect, via telephone interview, cognitive abnormalities in survivors of acute respiratory distress syndrome.Methods: Two cross-sectional studies were performed, including the following phases: (1) initial battery construction, (2) feasibility, (3) item reduction, (4) convergent and divergent validity, and (5) telephone administration compared with in-face interviews in a separate population.Results: There was a broad range of cognitive function detected in the derivation population, and all subjects completed the interview. There was convergence of cognitive impairment with moderate/severe anxiety (P =.008), the Sickness Impact Profile Psychosocial Summary Score (mean difference, 15.3; 95% CI, 7.74-22.9; P =.0001), and the mental health domains of the Short Form 36. Subjects with cognitive impairment had no detectable difference in the physical function domains of the Short Form 36. When administered to the validation population, telephone tests of memory, attention, reasoning, and executive functions had good intraclass correlation with the in-face interviews (P