开发PRACTIC目标设定面试 (PGSI) 对于脆弱的社区住院患者. 可行性,评价者间可靠性和内容有效性 - - 混合方法研究
Anette Væringstad1,2, Øyvind Kirkevold1,2,3, Ellen Thea Gjelseth Dalbak1,2
1The Research Centre for Age-Related Functional Decline and Disease, Innlandet Hospital Trust, Ottestad, Norway.
Patient preference and adherence
|December 22, 2025
概括
实践目标设定面试 (PGSI) 是一种可行的和有效的工具,可以提高家庭护理中的患者参与度和目标实现. 这项研究证实了其内容有效性和可靠性,改善了患者的治疗结果.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 目标设定面试,如班戈尔目标设定面试 (BGSI),为随机对照试验 (RCT) 的参与者提供个性化的结果.
- PRACTIC RCT评估了针对脆弱的社区住宿患者的生物心理社会干预,以适应的PRACTIC目标设定访谈 (PGSI) 为其主要结果.
- 该PGSI的重点是个人的目标实现和准备改变,反映独特的患者需求.
研究的目的:
- 从BGSI翻译和开发PGSI,以便在PRACTIC RCT中使用.
- 探索PGSI在家庭护理环境中的可行性,内容有效性和互评级可靠性.
主要方法:
- 采用了融合混合方法设计,整合了定量和定性数据.
- 第1次子研究涉及翻译和开发,使用市政工作人员会议 (n=7) 的现场笔记.
- 第二次子研究评估了可行性,内容有效性和评价者之间的可靠性,使用来自28个城市的数据,包括患者 (n=126),亲属 (n=72),工作人员 (n=13),数据收集者 (n=5) 和个人访谈 (n=12).
主要成果:
- 在家庭护理中,PGSI得到了很好的接待,尽管面临时间压力等挑战,但提高了患者参与度.
- 在12周后,具有高动机的参与者显示PGSI分数显著增加 (p=0.010).
- 在患者和工作人员对目标实现的评估之间发现了强烈的正相关性 (斯皮尔曼的 ρ = 0.87-0.92,p < 0.001),表明了高的interrater可靠性.
结论:
- 在家护理服务中,PGSI是制定目标的有用和可行的工具.
- PGSI加强了患者的参与和目标的实现.
- 该工具展示了高内容有效性和互评级可靠性,支持其用于改善患者护理.
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