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Development of the implanted devices adjustment scale.

Theresa A Beery1, Linda S Baas, Helga Matthews

  • 1University of Cincinnati-College of Nursing, Cincinnati, OH 45221-0038, USA. Theresa.beery@uc.edu

Dimensions of Critical Care Nursing : DCCN
|November 1, 2005
PubMed
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The Implanted Device Adjustment Scale (IDAS) effectively measures patient adjustment to medical devices. This tool shows high reliability and can help identify individuals needing support for mental health challenges related to their implants.

Area of Science:

  • Medical Device Technology
  • Psychometrics
  • Clinical Psychology

Background:

  • The increasing prevalence of implanted medical devices necessitates tools to assess patient adaptation.
  • Some patients experience psychological distress, including depression and anxiety, following implantation.

Purpose of the Study:

  • To develop and validate the Implanted Device Adjustment Scale (IDAS) for measuring patient adjustment to implanted devices.
  • To provide a reliable instrument for assessing psychological outcomes in patients with implanted medical devices.

Main Methods:

  • Item pool generation and expert review for content validity.
  • Pilot testing with a small sample to refine items.
  • Administration of the revised IDAS to a convenience sample of 45 patients with pacemakers or cardioverter/defibrillators, with test-retest assessment.

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Main Results:

  • The final IDAS demonstrated strong internal consistency (Cronbach alpha = 0.90) and excellent test-retest reliability (0.92).
  • No significant differences in adjustment scores were found based on age, gender, or device type.
  • The scale effectively identified patient adjustment levels to implanted devices.

Conclusions:

  • The Implanted Device Adjustment Scale (IDAS) is a psychometrically sound instrument for evaluating patient adjustment to implanted medical devices.
  • The IDAS can facilitate early identification of patients struggling with device adjustment, enabling timely interventions.
  • Improved patient adjustment assessment may lead to better health outcomes for individuals with implanted medical devices.