Measuring the social interactions of people with traumatic brain injury and their communication partners: The adapted Kagan scales

Measuring the social interactions of people with traumatic brain injury and their communication partners: The adapted Kagan scales
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测量脑外伤患者及其沟通伙伴的社交互动:改编后的卡根量表

DOI:
10.1080/02687030903422478
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发表时间:
2010
期刊:
影响因子:
2
通讯作者:
Rachel Rietdijk
Rachel Rietdijk
中科院分区:
医学3区
文献类型:
--
作者:
L. Togher;E. Power;R. Tate;S. McDonald;Rachel Rietdijk

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背景资料:TBI患者的沟通障碍的性质受到了相当大的关注(Coelho,2007; Ylvisaker,Turkstra和Coelho,2005)。然而,很少有数据关注沟通伙伴如何处理创伤性脑损伤的后遗症。目的:本研究报告之间和评价者内的信度的适应性措施的支持对话(MSC)和措施的参与对话(MPC)TBI的互动。方法和程序:MSC和MPC进行了调整,以反映TBI患者认知沟通支持的理论模型。共有10个偶然的和10个有目的的TBI相互作用进行了独立的两个评级,以建立评级员之间的可靠性和一个评级员在两个不同的场合,以确定内部评级员的可靠性。结果:MSC(ICC = 0.85-0.97)和MPC(ICC = 0.84-0.89)的评分者间一致性良好。评估者内部一致性也很强(MSC:ICC = 0.80-0.90; MPC:ICC = 0.81-0.92)。超过90%的评分在9分制的0.5分以内。结论:这是第一个衡量TBI互动过程中沟通伙伴的量表。它在评价传播伙伴培训方案方面显示出希望。
Background: Considerable attention has been given to the nature of communication impairments of individuals with TBI (Coelho, 2007; Ylvisaker, Turkstra, & Coelho, 2005). However, there have been few data focusing on the way communication partners deal with the often distressing sequelae of TBI. Aims: This study reports inter- and intra-rater reliability of the Adapted Measure of Support in Conversation (MSC) and Measure of Participation in Conversation (MPC) for TBI interactions. Method & Procedures: The MSC and MPC were adapted to reflect theoretical models of cognitive-communication support for people with TBI. A total of 10 casual and 10 purposeful TBI interactions were independently rated by two raters to establish inter-rater reliability and by one rater on two separate occasions to determine intra-rater reliability. Outcomes & Results: Excellent inter-rater agreement was established on the MSC (ICC = 0.85–0.97) and the MPC (ICC = 0.84–0.89). Intra-rater agreement was also strong (MSC: ICC = 0.80–0.90; MPC: ICC = 0.81–0.92). Over 90% of all ratings scored within 0.5 on a 9-point scale. Conclusions: This is the first scale to measure the communication partner during TBI interactions. It shows promise in evaluating communication partner training programmes.