Activities of daily living in dementia: revalidation of the E-ADL Test and suggestions for further development.
Activities of daily living in dementia: revalidation of the E-ADL Test and suggestions for further development.
复制标题
痴呆症日常生活的活动：E-ADL测试的重新验证和进一步发展的建议。
DOI：
10.1186/1471-244x-12-208
复制
发表时间：
2012-11-23
期刊：
影响因子：
4.4
通讯作者：
Gräßel E
中科院分区：
文献类型：
--
作者：
Luttenberger K;Schmiedeberg A;Gräßel E
痴呆症患者的日常实践能力直接影响到患者的独立性，从而影响到患者的生活质量和所需护理的数量。因此，这些能力作为治疗目标是重要的，从健康经济的角度来看也是重要的。到目前为止，还没有经济有效的性能测试。由Gräβel等人在2009年开发的e - adl测试是一个短的性能测试，但迄今为止只在一个小样本上进行了验证。本研究的目的是重新验证e- adl测试，并探讨进一步发展的可能性。数据来自巴伐利亚州（德国）5家养老院139名痴呆症患者的随机对照试验。计算内部一致性作为可靠性的度量。对不同程度痴呆的样本和亚组进行了项目分析。基于5个假设对标准效度和结构效度进行检验。为了验证，采用barthel指数（BI）、老年患者护士观察量表（NOSGER）、阿尔茨海默病评估量表（ADAS）和简易精神状态检查（MMSE）对居民的能力进行了检查。内部一致性是。样品和。重度痴呆亚组73例。项目分析对中重度痴呆有较好的难度指数和鉴别力。研究发现，对于轻度痴呆症患者来说，这些任务太简单了。预测标准相关的效度为r =。在22个月后的护理水平中有54人在e - adl测试中有显著的平均差异在护理水平提高和没有提高的人之间。在构念效度上，差异相关曲线支持三个假设。目前形式的e -ADL测试是评估中度和重度痴呆患者ADL能力的有效和可靠的工具。应该为轻度痴呆患者开发更困难的项目。http://www.isrctn.com标识符：ISRCTN87391496
The everyday practical capabilities of dementia patients have a direct influence on a patient’s independence and thus on the person’s quality of life and on the amount of care needed. These capabilities are therefore important as therapeutic goals and are also important from a health-economic point of view. To date, no economical and valid performance test is available. The E-ADL-Test developed by Gräβel et al. in 2009 is a short performance test that has, however, only been validated on a small sample thus far. The objective of the present study is to re-validate the E-ADL-Test and explore possibilities for further development. The data were obtained from an RCT with a sample of 139 dementia patients in 5 nursing homes in Bavaria (Germany). The internal consistency was calculated as a measure of reliability. An item analysis was performed for the sample and subgroups with various degrees of dementia. Criterion and construct validity were tested based on five hypotheses. For validation, the residents’ capabilities were examined using the Barthel-Index (BI), the Nurses’ Observation Scale for Geriatric Patients (NOSGER), the Alzheimer’s Disease Assessment Scale (ADAS), and the Mini-Mental Status Examination (MMSE). The internal consistency was .68 for the sample and .73 for the subgroup with severe dementia. The item analysis yielded good difficulty indices and discrimination power for moderate and severe dementia. The tasks were found to be too easy for mild dementia. The predictive criterion-related validity was confirmed by a correlation of r = .54 with the care level after 22 months and significant mean differences in the E-ADL-Test between persons with and without an increase in the care level. A differentiated correlation profile supported the three hypotheses on construct validity. The E-ADL-Test in its current form is a valid and reliable instrument for assessing the ADL capabilities of patients with moderate and severe dementia. More difficult items should be developed for use with mild dementia. http://www.isrctn.com Identifier: ISRCTN87391496