Development and Feasibility of SymTrak, aMulti-domain Tool for Monitoring Symptoms of Older Adults in Primary Care.
Development and Feasibility of SymTrak, aMulti-domain Tool for Monitoring Symptoms of Older Adults in Primary Care.
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SymTrak 的开发和可行性，这是一种用于监测初级保健中老年人症状的多领域工具。
DOI：
10.1007/s11606-018-4772-4
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发表时间：
2019
影响因子：
5.7
通讯作者：
Boustani,Malaz
中科院分区：
文献类型：
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作者：
Monahan,PatrickO;Kroenke,Kurt;Callahan,ChristopherM;Bakas,Tamilyn;Harrawood,Amanda;Lofton,Phillip;Frye,Danielle;Draucker,Claire;Stump,Timothy;Saliba,Debra;Galvin,JamesE;Keegan,Amanda;Austrom,MaryG;Boustani,Malaz
背景需要一种临床实用、简单、用户友好、多领域的自我报告和自我报告工具，用于跟踪患有多种慢性疾病（MCC）的老年患者的初级护理中的可操作症状。开发和评估SymTrak的可用性、给药时间和内部可靠性。设计和验证阶段I：传统的工具，内容的有效性，分析现有的数据，焦点小组（医生，护士，病人，非正式的照顾者），和思考的访谈（病人，照顾者）被用来开发SymTrak。第二阶段（试点可行性研究）：81（27名患者，照顾者二人组，27名患者没有确定的照顾者）参与者自我管理SymTrak在clinic.Main MeasuresSymTrak和人口问题。用Think Aloud反馈纠正了模棱两可的措辞。在第二阶段，患者和护理人员更喜欢圈出的单词，而不是数字的项目响应选项。SymTrak自我给药完成时间很短;对于护理人员、二元患者和无护理人员的患者，最终圆圈词版本的平均时间分别为2.4、3.0和3.3分钟;任何参与者的最长时间为6.2分钟。可用性问卷评分较高。Cronbach的α为SymTrak 23项总评分为0.86，0.79，和0.81照顾者，二元患者，和患者没有一个career.ConclusionsSymTrak演示内容效度，积极的定性研究结果，高感知的可用性，简短的自我管理的完成时间，和良好的内部信度。
BackgroundA clinically practical, brief, user-friendly, multi-domain self-report and caregiver-report tool is needed for tracking actionable symptoms in primary care for elderly patients with multiple chronic conditions (MCCs).ObjectiveDevelop and assess usability, administration time, and internal reliability of SymTrak.Design and ParticipantsPhase I: legacy instruments, content validity, analyses of existing data, focus groups (physicians, nurses, patients, informal caregivers), andThink Aloudinterviews (patients, caregivers) were used to develop SymTrak. Phase II (pilot feasibility study): 81 (27 patient-caregiver dyads, 27 patients without an identified caregiver) participants were self-administered SymTrak in clinic.Main MeasuresSymTrak and demographic questions.Key ResultsConsistent themes emerged from phase I focus groups. Ambiguous wording was corrected withThink Aloudfeedback. In phase II, patients and caregivers preferred circling words instead of numbers for item response options. SymTrak self-administration completion time in clinic was brief; mean was 2.4, 3.0, and 3.3 min for the finalized circlingwords version, respectively, for caregivers, dyadic patients, and patients without a caregiver; and the maximum was 6.2 min for any participant. Usability questionnaire ratings were high. Cronbach’s alpha for the SymTrak 23-item total score was 0.86, 0.79, and 0.81 for caregivers, dyadic patients, and patients without a caregiver, respectively.ConclusionsSymTrak demonstrates content validity, positive qualitative findings, high perceived usability, brief self-administered completion time, and good internal reliability.