McGill Ingestive Skills Assessment (MISA): Development and first field test of an evaluation of functional ingestive skills of elderly persons
McGill Ingestive Skills Assessment (MISA): Development and first field test of an evaluation of functional ingestive skills of elderly persons
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DOI：
10.1007/s00455-002-0091-2
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发表时间：
2003-03-01
期刊：
影响因子：
2.6
通讯作者：
Wood-Dauphinee, S
中科院分区：
文献类型：
--
作者：
Lambert, HC;Gisel, EG;Wood-Dauphinee, S
缺乏可靠和有效的临床评估工具的个人与摄入技能的损失。麦吉尔吞咽技能评估（MISA）的开发，以促进可靠和有效的床边评估的老年人喂养困难。项目是通过文献综述生成的，并在多学科团队的合作下进行选择。第一版MISA包括7个量表中的190个项目，涵盖病史、进餐环境、患者的身体特征、食用的食物质地、固体摄入、液体摄入和与自我喂养相关的行为。项目选择的第一个现场测试包括50名年龄在60岁及以上的个人，他们居住在社区、监督住房和长期护理中心。现场测试后，134个项目被淘汰，由于表面效度差，冗余，或心理测量性能差。其余56个项目提供了4个回答类别，并重组为5个量表。修订后的版本进行了实地测试，以确定其初步的心理测量特性的33个人，60岁及以上，居住在一个长期护理中心。第二次现场试验后，由于冗余，删除了6个项目。对修订版的分析导致删除了另外6个冗余或可靠性差的项目。所有量表的内部一致性均大于或等于0.86，评分者间一致性均大于或等于0.92。这些分析表明，MISA的心理测量特性是足够的诊断和治疗计划。这支持其准备临床使用后，进一步的可靠性和有效性测试与更大的样本。
There is a lack of reliable and valid clinical assessment tools for individuals with loss of ingestive skills. The McGill Ingestive Skills Assessment (MISA) was developed to facilitate the reliable and valid bedside assessment of elderly persons with feeding difficulties. Items were generated by a literature review and selected with the collaboration of a multidisciplinary team. The first version of the MISA comprised 190 items in 7 scales, covering the domains of medical history, mealtime environment, physical characteristics of the patient, food textures consumed, solid ingestion, liquid ingestion, and behaviors related to self-feeding. The first field test for item selection included 50 individuals, aged 60 years and older, living in the community, supervised housing, and long-term care centers. After field testing, 134 items were eliminated due to poor face validity, redundancy, or poor psychometric performance. The remaining 56 items were provided with 4 response categories and were reorganized into 5 scales. The revised version was field tested to determine its preliminary psychometric properties on 33 individuals, 60 years of age and older, residing in a long-term care center. Six items were eliminated due to redundancy after the second field test. Analyses of the revised version resulted in the elimination of another 6 items that were redundant or that demonstrated poor reliability. Internal consistency of all scales is greater than or equal to0.86 and interrater agreement is greater than or equal to0.92. These analyses suggest that the psychometric properties of the MISA are adequate for diagnosis and treatment planning. This supports its readiness for clinical use following further reliability and validity testing with a larger sample.