Development of the Risk Appraisal Measure: A Brief Screen to Identify Risk Areas and Guide Interventions for Dementia Caregivers
Development of the Risk Appraisal Measure: A Brief Screen to Identify Risk Areas and Guide Interventions for Dementia Caregivers
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DOI：
10.1111/j.1532-5415.2009.02260.x
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发表时间：
2009-06-01
影响因子：
6.3
通讯作者：
Gallagher-Thompson, Dolores
中科院分区：
文献类型：
--
作者：
Czaja, Sara J.;Gitlin, Laura N.;Gallagher-Thompson, Dolores
开发并验证一种用于研究、医疗保健和社区环境的简短筛查措施，以系统地评估痴呆患者护理人员的幸福感并确定所需的支持领域。（REACH II），一项多中心随机临床试验，旨在改善多个领域的照顾者的生活质量。212名西班牙裔，211名黑人和219名白色家庭照顾者为痴呆患者提供家庭护理，基于概念和心理测量分析，开发了一个16项措施，评估与照顾者风险相关的六个领域，并进行干预：抑郁，负担，自我护理和健康行为，社会支持，安全和患者问题行为。该工具的可靠性和有效性进行了评估与642痴呆照顾者从REACH II program.The措施被发现有可接受的内部一致性的多维规模和类似的测量属性的每个种族和民族群体。同时效度也证明了measure.The REACH风险评估措施在这项研究中开发的承诺，可用于研究，临床和社区环境中的评估工具，以指导，优先考虑，并有针对性地需要支持痴呆症患者的照顾者的领域。
To develop and validate a brief screening measure for use in research, healthcare, and community settings to systematically assess well-being and identify needed areas of support for caregivers of patients with dementia.This study used data from Resources for Enhancing Alzheimer's Caregiver Health (REACH II), a multisite randomized clinical trial of a behavioral intervention designed to improve the quality of life of caregivers in multiple domains.REACH II.Two hundred twelve Hispanic, 211 black, and 219 white family caregivers providing in-home care to patients with dementia.Based on conceptual and psychometric analyses, a 16-item measure was developed that assesses six domains linked to caregiver risk and amenable to intervention: depression, burden, self-care and health behaviors, social support, safety, and patient problem behaviors. The reliability and validity of the instrument was evaluated with 642 dementia caregiver dyads from the REACH II program.The measure was found to have acceptable internal consistency for a multidimensional scale and similar measurement properties for each of the racial and ethnic groups. Concurrent validity was also demonstrated for the measure.The REACH Risk Appraisal Measure developed in this study shows promise as an assessment tool that can be used in research, clinical, and community settings to guide, prioritize, and target needed areas of support for caregivers of patients with dementia.