An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change.
An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change.
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DOI：
10.1111/jgs.16957
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发表时间：
2021-03
影响因子：
6.3
通讯作者：
Karel M
中科院分区：
文献类型：
--
作者：
Curyto KJ;Jedele JM;Mohr DC;Eaker A;Intrator O;Karel M
痴呆症患者经常表现出痴呆症 (DBD) 中的痛苦行为，这与较差的预后相关。本研究旨在根据常规管理的最小数据集 (MDS 3.0) 行为部分项目创建一种 DBD 衡量标准，该项目表现出对变化的敏感性，以评估对 VA 社区生活中心 (CLC) 表现出 DBD 的居民的干预工作。 72 VA 疗养院或社区生活中心 (CLC)。患有 DBD 的 CLC 居民 (n = 302) 在 2013 年至 2017 年间参加了跨学科行为干预。对来自最接近基线的评估的 MDS 行为部分项目进行了因子分析。探讨了内部一致性、MDS 因素与临床测量之间的假设关联以及检测随时间变化的敏感性。使用 MDS 行为部分项目和经过验证的 DBD 临床测量对居民进行基线和干预后评估。痴呆症应激行为指标 (DBDI) 是作为具有内部一致性的一致因素而创建的，并且与基线和干预后预测的经过验证的测量值相关。通过使用变化评分相关性 (r = 0.40–0.50)、效应大小 (d = 0.63) 和可靠的变化指数来证明对变化的敏感性。建议在 CLC 中常规使用 DBDI，以评估干预效果的影响并提供质量改进反馈。
Persons with dementia frequently demonstrate distress behaviors in dementia (DBD), associated with poorer outcomes. This study aimed to create a measure of DBD from routinely administered Minimum Data Set (MDS 3.0) behavior section items that demonstrated sensitivity to change, for evaluation of intervention efforts for VA Community Living Center (CLCs) residents exhibiting DBD. 72 VA nursing home settings, or Community Living Centers (CLCs). CLC residents with DBD (n = 302) were enrolled in an interdisciplinary behavioral intervention between 2013 and 2017. A factor analysis of MDS behavior section items from assessments closest to baseline was conducted. Internal consistency, hypothesized associations between MDS factors and clinical measures, and sensitivity to detect change over time was explored. Residents were assessed at baseline and post-intervention using the MDS behavior section items and a validated clinical measure of DBD. The Distress Behavior in Dementia Indicator (DBDI) was created as a consistent factor with internal consistency, and was related to a validated measure as predicted at baseline and post-intervention. Sensitivity to change was demonstrated by using change score correlations (r = 0.40–0.50), effect size (d = 0.63), and reliable change indices. The DBDI is recommended for routine use in CLCs to evaluate impact of intervention effectiveness and provide quality improvement feedback.
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影响因子：
5.7
作者：
Karel, Michele J.;Teri, Linda;Karlin, Bradley E.
通讯作者：
Karlin, Bradley E.
影响因子：
4.4
作者：
Curtis, Laura M.;Revelle, William;Wolf, Michael S.
通讯作者：
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影响因子：
3.6
作者：
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影响因子：
5.9
作者：
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通讯作者：
TRUAX, P
DOI：
10.1016/j.jamda.2019.08.030
发表时间：
2019-12-01
影响因子：
7.6
作者：
McCreedy, Ellen;Ogarek, Jessica A.;Mor, Vincent
通讯作者：
Mor, Vincent