在老年人群中开发和初步心理测试一个简短的工具来测量药物坚持
Paolo Iovino1, Paola Obbia2, Vincenzo De Luca3
1Department of Health Sciences, University of Florence, Florence, Italy.
Clinical interventions in aging
|November 4, 2024
概括
一个新的四项治疗坚持度表 (TAS) 有效地衡量了慢性疾病的老年人的药物坚持度. 这个简短的工具是有效和可靠的,用于社区设置.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 心理测量 心理测量 心理测量
背景情况:
- 慢性疾病对医疗保健系统造成重大负担,特别是在老年人群中.
- 药物坚持对于社区居住的老年人治疗成功至关重要,但它往往不够理想.
- 公共卫生调查需要一个简短,有效和简单的测量方法来评估这个人口群体的药物坚持.
研究的目的:
- 开发和心理测试治疗依从度 (TAS),一个简洁的四项工具.
- 提供一个有效和可靠的衡量标准,以评估长期患有慢性疾病的社区老年人的药物坚持.
主要方法:
- 一个三个阶段的过程,包括仪器开发,内容有效性评估和心理测试.
- 最终的四项表格从九项候选项目中得出,并对269名参与者进行了测试.
- 进行了确认因素分析,有效性评估 (结构性,收性,已知组) 和可靠性测试 (克朗巴赫的α,分半).
主要成果:
- 确认因素分析显示了令人满意的适应指数 (RMSEA = 0.000,CFI = 1.00,TLI = 1.00).
- 较高的TAS分数与感知到的孤独 (ρ = 0.33),自我报告的记忆丧失 (ρ = 0.29) 和较差的心理生活质量 (ρ = -0.15) 相相关.
- 可接受的可靠性得到了确认,克伦巴赫的α为0.68,分半可靠性为0.77.
结论:
- 治疗坚持度表 (TAS) 是一种简短,有效和可靠的自我报告测量药物坚持度的方法.
- 在实践和研究中,TAS适合在社区环境中查患者.
- 这种免费使用的工具有助于我们更好地了解慢性疾病的老年人对药物坚持的理解.
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