Unbiased Alzheimer's Caregiver Health Assessment

公正的阿尔茨海默病护理人员健康评估

• 批准号: 7146615
• 负责人: CHIH-HUNG CHANG
• 金额: $ 6.19万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-15 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7146615
• 关键词: Activities of Daily Living; Age; Age-Years; Aging; Alzheimer' s Disease; American; Archives; Brain; Caregiver Burden; Caregivers; Caring; Cause of Death; Characteristics; Chronic; Clinical; Cognitive; Data; Data Analyses; Degenerative Disorder; Dementia; Diagnosis; Disease; Early Diagnosis; Elderly; Emotional; Exhibits; Facilities and Administrative Costs; Family; Family Caregiver; Friends; Health; Health Resources; Hispanics; Home Nursing Care; Home environment; Individual; Institutes; Intervention; Knowledge; Language; Life; Measurement; Measures; Memory Loss; Methods; Not Hispanic or Latino; Numbers; Nursing Homes; Nursing Research; Patients; Performance; Personality; Persons; Population; Prevention; Property; Psyche structure; Psychometrics; Public Health; Purpose; Relative (related person); Research; Resources; Risk; Sampling; Severities; Social Behavior; Staging; Stress; Sum; Symptoms; Testing; Thinking; Time; Today; United States; base; caregiving; cost; disorder prevention; experience; improved; instrument; response; theories; tool

DESCRIPTION (provided by applicant): The recognition of family caregivers and the consequence of caregiving for Alzheimer's disease (AD) patients have resulted in some measurement tools for caregiver burden and fulfillment. The breadth of the caregiving experience and burden demands reliable, comprehensive and validated measurement tools suited to the complicated and dynamic patient-caregiver relationships. Only then can they be reliably assessed and so that caregivers be appropriately assisted in their provision of care and protected from complications of excess stress. This type of tool can be useful to assess a caregiver's situation by clinicians and others in early detection efforts to screen for caregivers at risk and to direct proper and timely interventions. The proposed project will utilize modern advanced psychometric methods, i.e., item response theory (IRT), to evaluate the core battery of measures used in the Resources for Enhancing Alzheimer's Caregiver Health (REACH) initiative. A primary strength of this National Institute on Aging (NIA) and the National Institute on Nursing Research (NINR) sponsored initiative is the large (N = 1,222) racially and ethnically diverse sample of caregivers (non-Hispanic White, non-Hispanic Black, and Hispanic). Given the limited availability of caregiver health assessment tools that are sensitive to the needs of linguistically, culturally, and educationally diverse caregivers, this proposed project will focus on language and culture aspects. Our two specific aims are: 1) to test the psychometric properties of the REACH core battery of measures and to examine the effect of language and culture on item response; and 2) to compare the measurement equivalence of the socio-demographic and clinical groups of caregivers on the core battery of measures in terms of other psychometric characteristics, and to explore the sensitivity to clinical change over time. In summary, the purpose of this secondary data analysis project is twofold. The first purpose is to perform IRT-based item analyses of the REACH core battery of instruments in order to identify items that show measurement bias. Knowledge about such DIP impacts will provide a basis for more effective use of the instruments in culturally diverse AD caregiver populations. The second purpose is to examine the effects on scale-level statistical properties of maintaining or removing items with significant differential item functioning (DIP). The completion of this study may provide useful data, on the basis of a large population-based sample on various scale-level measures. '

描述（由申请人提供）：对家庭照顾者的认识和阿尔茨海默病（AD）患者的生活后果导致了一些衡量照顾者负担和实现的工具。护理经验和负担的广度需要可靠、全面和有效的测量工具，以适应复杂和动态的患者-护理人员关系。只有这样，才能可靠地评估这些问题，从而适当地协助照顾者提供照顾，并保护他们免受过度压力的影响。这类工具可用于临床医生和其他人在早期检测工作中评估护理人员的情况，以筛选处于风险中的护理人员并指导适当和及时的干预。拟议的项目将利用现代先进的心理测量方法，即，项目反应理论（IRT），以评估用于提高阿尔茨海默氏症护理人员健康资源（REACH）倡议的措施的核心电池。这个国家老龄化研究所（NIA）和国家护理研究所（NINR）赞助的倡议的主要优势是大（N = 1，222）的种族和民族多样化的样本的照顾者（非西班牙裔白色，非西班牙裔黑人和西班牙裔）。鉴于照顾者健康评估工具有限，这些工具对语言，文化和教育多样的照顾者的需求很敏感，因此拟议的项目将侧重于语言和文化方面。我们的两个具体目标是：1）测试REACH核心测量组合的心理测量特性，并检查语言和文化对项目反应的影响; 2）比较社会人口统计学和临床护理人员群体在核心测量组合的其他心理测量特性方面的测量等效性，并探索随时间推移对临床变化的敏感性。总之，这一次级数据分析项目的目的是双重的。第一个目的是对REACH核心仪器组进行基于IRT的项目分析，以识别显示测量偏倚的项目。了解这种DIP影响将为在文化多样的AD护理人员人群中更有效地使用这些工具提供基础。第二个目的是研究保留或删除具有显著差异项目功能（DIP）的项目对量表水平统计特性的影响。这项研究的完成可能会提供有用的数据，在一个大的人口为基础的样本的各种规模的措施。'