The stroke caregiver unmet resource needs scale: development and psychometric testing.
The stroke caregiver unmet resource needs scale: development and psychometric testing.
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DOI：
10.1097/jnn.0b013e3182a3ce40
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发表时间：
2013-12
期刊：
影响因子：
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通讯作者：
Raad J
中科院分区：
文献类型：
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作者：
King RB;Hartke RJ;Lee J;Raad J
本研究的目的是开发和验证中风幸存者照顾者未满足的资源需求的测量方法，并描述照顾者在1年内未满足的需求。采用纵向描述性设计来检验未满足资源需求（URN）测量的信度和效度。项目开发基于文献综述和初步研究结果。一个压力和应对概念模型构建了这些假设。心理测试基于出院后6个月的数据（n= 166）。对内容和结构构念效度、1年后的内部一致性信度、并发效度进行检验。观察骨密度随时间的变化。内容效度由低于5%的下限效应和上限效应支持。主轴保理产生了一个12项、两因素的解决方案，反映了一般需求和技术未满足的需求。总量表和分量量表的内部一致性信度在所有时间都是令人满意的，除了基线三项技术量表(α=。56)。并发效度与模型构念（威胁、积极解决问题、抑郁、准备）显著相关，p<。01)在预期的方向。功能状态和资源使用与URN无关。重复测量方差分析（n= 123）表明，未满足的需求从基线到出院后3、6和12个月显著减少(p<。001)。然而，42%的人在第一年报告了一个或多个未满足的需求。在整个护理过程中，对未满足的需求进行评估和咨询，以减少负面结果。
The purposes of this study were to develop and validate a measure of unmet resource needs of the caregivers of survivors of stroke and to describe the caregivers’ unmet needs during 1 year. A longitudinal, descriptive design was used to test the reliability and validity of the Unmet Resource Needs (URN) measure. Item development was based on literature review and preliminary study findings. A stress and coping conceptual model framed the hypotheses. Psychometric testing was based on 6-month postdischarge data (n= 166). Content and structural construct validity, internal consistency reliability through 1 year, and concurrent validity were tested. Change in URN over time was examined. Content validity was supported by floor and ceiling effects less than 5%. Principal axis factoring yielded a 12-item, two-factor solution reflecting general and technology unmet needs. Internal consistency reliability was satisfactory for the total scale and subscales at all times, excepting the baseline three-item technology scale (α=. 56). Concurrent validity was supported by significant correlations with model constructs (threat, positive problem solving, depression, preparedness; p<. 01) in the expected direction. Functional status and resource use were not associated with the URN. Repeated measures analysis of variance (n= 123) indicated a significant decrease in unmet needs from baseline to 3, 6, and 12 months postdischarge (p<. 001). Nevertheless, 42% reported one or more unmet needs at year 1. Assessment and counseling on unmet needs is indicated throughout the caregiving trajectory to reduce negative outcomes.