The Making of a Self-Neglect Severity Scale

The Making of a Self-Neglect Severity Scale
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DOI:
10.1300/j084v18n04_03
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发表时间:
2006-01-01
影响因子:
1.9
通讯作者:
Smith, Scott
Smith, Scott
中科院分区:
心理学3区
文献类型:
--
作者:
Dyer, Carmel;Kelly, P.;Smith, Scott

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背景老年人自我忽视的研究已经落后于其他形式的虐待,尽管事实上,自我忽视是最常见的指控报告给成人保护服务机构在美国各地。缺乏衡量自我忽视的金标准阻碍了对这一现象的研究。研究人员根据对成人保护服务工作人员和国家专家小组的采访设计了自我神经衰弱严重程度量表(SSS)。SSS基于观察和访谈,在家中进行,包括环境评估。它是试点,广泛的实地测试,然后修改。CREST SSS是利用调查数据和与该领域专家的协商制定的。该工具利用观察员评级,访谈的反应,并评估科目的物理和环境领域。它还评估与健康和安全问题有关的功能状态。经过实地和试点测试,SSS最终确定,目前正在进行可靠性和有效性测试。CREST SSS是作为一种状态量表开发的,为描述自我忽视的情况提供了一种通用语言。这是第一个可供研究人员使用的自我忽视严重程度量表。如果发现它是可靠和有效的,它可能会被用于未来的干预研究。(C)出版社:The Haworth Press,Inc. All rights reserved.
Background. Research in elder self-neglect has lagged behind that of other forms of mistreatment, despite the fact that self-neglect is the most common allegation reported to Adult Protective Service agencies throughout the US. The lack of a gold standard to measure self-neglect has hampered efforts to study this phenomenon.Methods. Researchers designed the Self-Neglect Severity Scale (SSS) based on interviews with Adult Protective Service workers and a national expert panel. The SSS is based on observation and interview and is administered in the home to include an environmental assessment. It was piloted, extensively field tested and then revised.Results. The CREST SSS was developed using survey data and consultation with experts in the field. This instrument utilizes observer ratings, interview responses, and assesses subjects' physical and environmental domains. It also assesses functional status as it relates to health and safety issues. After field and pilot testing, the SSS was finalized and is currently undergoing reliability and validity testing.Conclusions. The CREST SSS was developed as a state scale to provide a common language for describing cases of self-neglect. It is the first self-neglect severity scale available to researchers. If found to be both reliable and valid, it may be used in future intervention studies. (C) 2006 by The Haworth Press, Inc. All rights reserved.