The Attitudes Toward Tube-Feeding in Advanced Dementia (ATT-FAD) Questionnaire: A Valid and Reliable Tool
The Attitudes Toward Tube-Feeding in Advanced Dementia (ATT-FAD) Questionnaire: A Valid and Reliable Tool
复制标题
DOI：
10.1080/21551197.2018.1518797
复制
发表时间：
2018-01-01
影响因子：
--
通讯作者：
Lawrence, Jeannine C.
中科院分区：
文献类型：
--
作者：
Douglas, Joy W.;Turner, Lori W.;Lawrence, Jeannine C.
注册营养师(RDS)应该参与晚期痴呆患者的跨学科喂养讨论，但关于RDS如何提出此类喂养建议的研究很少。这项研究开发并验证了一份基于理论的问卷，以评估老年晚期痴呆患者对RDS使用喂养管的知识、信念和态度。该文书是根据社会生态模型起草的，并通过专家小组审查确定了其表面和内容的有效性。对70个RDS进行的试点测试提供了内部一致性可靠性的初步测量，并减少了调查中的项目数量。使用662个RDS进行的有效性测试允许对内部一致性可靠性进行第二次分析，并消除了额外的项目。结构效度通过极端群体验证和探索性因素分析确定，得到六个子量表，每个子量表具有足够的内部一致性和重测相关系数：(I)总体知识，(Ii)知识自我效能，(Iii)宗教/灵性/文化，(Iv)个人价值观，(V)感知组织和培训，(Vi)感知政策。这项基于社会生态模型的调查被认为是评估RDS对患有晚期痴呆的老年人使用喂养管的知识和态度的有效和可靠的工具。
Registered Dietitians (RDs) should participate in interdisciplinary feeding discussions for patients with advanced dementia, but research on how RDs make such feeding recommendations is scarce. This study developed and validated a theory-based questionnaire to assess the knowledge, beliefs, and attitudes of RDs regarding feeding tube use among older adults with advanced dementia. The instrument was drafted based on the Social Ecological Model, and face and content validity were established through an expert panel review. Pilot testing with 70 RDs provided an initial measure of internal consistency reliability and reduced the number of items in the survey. Efficacy testing with 662 RDs allowed for a second analysis of internal consistency reliability and eliminated additional items. Construct validity was then established using validation by extreme groups and exploratory factor analysis, yielding six subscales, each with adequate internal consistency and test-retest correlation coefficients: (I) Total Knowledge, (II) Knowledge Self-Efficacy, (III) Religion/Spirituality/Culture, (IV) Personal Values, (V) Perceived Organization and Training, and (VI) Perceived Policy. The survey, based on the Social Ecological Model, was deemed a valid and reliable tool to assess RDs' knowledge and attitudes regarding feeding tube use among older adults with advanced dementia.