Reliability and validity of the Repeatable Battery for the Assessment of Neuropsychological Status in community-dwelling elderly.

Reliability and validity of the Repeatable Battery for the Assessment of Neuropsychological Status in community-dwelling elderly.
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DOI:
10.5114/aoms.2011.25561
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发表时间:
2011-10
期刊:
Archives of medical science : AMS
影响因子:
--
通讯作者:
Li C
Li C
中科院分区:
其他
文献类型:
--
作者:
Cheng Y;Wu W;Wang J;Feng W;Wu X;Li C

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神经心理状态评估可重复成套测验(RBANS)是神经心理评估中广泛使用的筛查工具,是一种简短的个体化管理措施。本研究旨在评估RBANS中文版在社区老年人中的信度和效度。所有受试者均来自中国上海的社区老年人。他们完成了一份关于人口学信息、简易精神状态检查(MMSE)和中文版RBANS的问卷。为了检验内部一致性,计算所有6个RBANS指数的Cronbach α。RBANS和MMSE子测验之间的相关性进行测量的同时效度。验证性因素分析(CFA)进行了测试的结构效度。最终的参与者样本包括236名社区居住的老年人。RBANS总分平均为86.02(±14.19)分。RBANS总分具有较强的内部一致性(r = 0.806),各RBANS量表的系数α值在0.142 ~ 0.727之间。RBANS总分与MMSE总分高度相关(r = 0.594,p<0.001),RBANS分测验与大多数MMSE分测验也表现出强相关性。验证性因素分析的结果表明,中文版的RBANS和原始版本之间的拟合是可以接受的。中文版RBANS在社区老年人中具有较好的信度和效度。它可能是一个有用的筛选工具进行认知评估,在社区居住的老年人。
The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a widely used screening instrument in neuropsychological assessment and is a brief, individually administered measure. The present study aims to assess the reliability and validity of the Chinese version of the RBANS in community-dwelling elderly. All subjects come from the community-dwelling elderly in Shanghai, China. They completed a questionnaire concerning demographic information, the mini-mental state examination (MMSE) and the Chinese version of the RBANS. To test for internal consistency, Cronbach's α was calculated for all six RBANS indices. Correlations between each of the RBANS and MMSE subtests were conducted to measure the concurrent validity. A confirmatory factor analysis (CFA) was conducted to test the construct validity. The final sample of participants included 236 community-dwelling elderly. The mean total score on the RBANS was 86.02 (±14.19). The RBANS total score showed strong internal consistency (r = 0.806), and the coefficient α value for each of the RBANS scales ranged from 0.142 to 0.727. The total RBANS score was highly correlated with that of the MMSE (r = 0.594, p<0.001), and the RBANS subtests also demonstrated strong correlations with most of the MMSE subtests. The results of the CFA indicated an acceptable fit between the Chinese version of the RBANS and the original. The Chinese version of the RBANS had relatively good reliability and validity in a community-dwelling elderly sample. It may be a useful screening instrument for conducting cognitive assessments in community-dwelling elderly.
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