Self-Report Measure of Financial Exploitation of Older Adults
Self-Report Measure of Financial Exploitation of Older Adults
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DOI：
10.1093/geront/gnq054
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发表时间：
2010-12-01
期刊：
影响因子：
5.7
通讯作者：
Wilber, Kathleen H.
中科院分区：
文献类型：
--
作者：
Conrad, Kendon J.;Iris, Madelyn;Wilber, Kathleen H.
用途：本研究旨在通过测试老年人金融剥削测量（OAFEM），客户端自我报告工具的心理测量特性，以提高测量的金融剥削（FE）。设计和方法：采用Rasch项目反应理论和传统的验证方法。来自伊利诺伊州7个机构的22名成人保护服务调查人员对227名经证实的虐待客户进行了调查。分析包括维度检验、模型拟合和额外结构确认。OAFEM的结果也与滥用的证实决定以及研究者使用工作人员报告版本对FE的评估进行了比较。生成假设以检验假设的关系。结果如下：OAFEM，包括原来的79，54，和30个项目的措施，符合严格的Rasch分析拟合和一维标准，具有较高的内部一致性和项目的可靠性。验证结果是支持性的，同时导致重新考虑假设的理论层次结构的各个方面。建议使用手柄来证明严重程度。影响：这项措施现在可以帮助评估FE的老年人的临床医生和研究人员。使用经验产生的项目层次结构开发的理论改进可能有助于改善评估和干预。
Purpose: This study was designed to improve the measurement of financial exploitation (FE) by testing psychometric properties of the older adult financial exploitation measure (OAFEM), a client self-report instrument. Design and Methods: Rasch item response theory and traditional validation approaches were used. Questionnaires were administered by 22 adult protective services investigators from 7 agencies in Illinois to 227 substantiated abuse clients. Analyses included tests for dimensionality, model fit, and additional construct validation. Results from the OAFEM were also compared with the substantiation decision of abuse and with investigators' assessments of FE using a staff report version. Hypotheses were generated to test hypothesized relationships. Results: The OAFEM, including the original 79-, 54-, and 30-item measures, met stringent Rasch analysis fit and unidimensionality criteria and had high internal consistency and item reliability. The validation results were supportive, while leading to reconsideration of aspects of the hypothesized theoretical hierarchy. Thresholds were suggested to demonstrate levels of severity. Implications: The measure is now available to aid in the assessment of FE of older adults by both clinicians and researchers. Theoretical refinements developed using the empirically generated item hierarchy may help to improve assessment and intervention.