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相关概念视频

Self-Evaluation Maintenance Model01:29

Self-Evaluation Maintenance Model

The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...

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探索基于绩效的功能评估的远程管理.

Audrey A Keleman1, Rebecca M Bollinger1, Juleen Rodakowski2

  • 1Program in Occupational Therapy, Washington University School of Medicine, St Louis, MO, USA.

Journal of applied gerontology : the official journal of the Southern Gerontological Society
|October 25, 2024
PubMed
概括

对于老年人来说,日常生活仪器活动 (IADL) 评估的远程管理是可行的. 虽然得分与面对面的方法相似,但远程任务需要更多的时间,需要进行微小的调整以实现最佳使用.

关键词:
认知 认知 认知功能 功能 功能 功能.日常生活中的工具性活动.远程评估 远程评估 远程评估

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科学领域:

  • 老年学是指老年学的学科.
  • 康复医学 康复医学 康复医学
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 与自我报告问卷相比,对日常生活工具活动 (IADL) 的基于绩效的评估可以更好地检测功能障碍.
  • IADL评估的传统面对面管理限制了弱势老年人的可访问性.
  • 远程管理为扩大对功能评估的访问提供了一个潜在的解决方案.

研究的目的:

  • 为了比较特定的IADL任务的个人与远程管理的有效性和可行性.
  • 为了评估分数等价性,随时间的变化,以及管理方法之间的差异性项目功能 (DIF).
  • 评估临床医生对远程IADL评估可接受性和可行性的看法.

主要方法:

  • 居住在社区的老年人在基准时接受了面对面的IADL评估.
  • 两年后进行了后续评估,使用了面对面或修改后的远程管理.
  • 统计分析比较了管理方法之间的得分,检查了基线变化,并确定了DIF.

主要成果:

  • 在面对面和远程IADL评估方法之间的总分没有发现显著差异.
  • IADL任务的远程管理与更长的完成时间有关.
  • 一个特定的IADL任务显示了两种管理方法之间的显著差异性项目功能 (DIF) (p < .01).

结论:

  • 支持选择的IADL任务 (购物,支票簿平衡,药物管理) 的远程管理,但进行了一些小的调整.
  • 临床医生报告说,远程管理是可以接受和可行的,这表明它有可能得到更广泛的实施.
  • 需要进一步的研究来充分验证远程IADL评估协议,并解决已识别的DIF.