A social-ecologic approach to assessing support for disease self-management: The chronic illness resources survey

A social-ecologic approach to assessing support for disease self-management: The chronic illness resources survey
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DOI:
10.1023/a:1005507603901
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发表时间:
2000-12-01
影响因子:
3.1
通讯作者:
Eakin, E
Eakin, E
中科院分区:
心理学3区
文献类型:
--
作者:
Glasgow, RE;Strycker, LA;Eakin, E

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我们报告了评估慢性病管理支持和资源的工具的开发和验证(慢性病资源调查;CIRS)。全量表和29项简明综合健康报告以社会生态模型为基础,旨在应用于慢性病,并评估七个层面(例如,家人和朋友、医生和医疗团队、邻里/社区)的支持和资源。对123名患有心脏病、关节炎、糖尿病和/或慢性阻塞性肺疾病的患者进行的前瞻性评估显示,该工具及其子量表和简明工具具有可接受的内部一致性、中到高的重测信度、良好的结构效度、中等的同时效度和前瞻性效度。我们讨论了CIRS在评估、反馈、定制干预和评估方面的潜在用途,并对未来的研究提出了建议。
We report on the development and validation of an instrument to assess support and resources for chronic illness management (the Chronic Illness Resources Survey; CIRS). The 64-item full instrument and the 29-item Brief CIRS are based on a social-ecologic model, designed to apply across chronic diseases, and assess support and resources at each of seven levels (e.g., family and friends, physician and health care team, neighborhood/community). A prospective evaluation with 123 patients having heart disease, arthritis, diabetes, and/or COPD revealed that the overall instrument, as well as subscales and the brief instrument, had acceptable internal consistency, moderate to high test-retest reliability good construct validity, and moderate concurrent and prospective criterion validity. We discuss potential uses of the CIRS for assessment, feedback, tailoring intervention, and evaluation and make recommendations for future research.