老年人自主评估中的全球差距:Cosmin系统审查
Masoud Rahmati1, Thomas Renou2, Sibylle Del Duca3
1CEReSS-Health Service Research and Quality of Life Center, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France; Center for Mental Health and Psychiatry Research (CRSMP)-Provence-Alpes-Côte d'Azur (PACA), Marseille, France.
The lancet. Healthy longevity
|February 13, 2026
概括
自主是健康老龄化和以人为中心的护理的关键,但缺乏措施. 这次审查确定了14种推的工具来评估老年人.
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:
- 自主是健康老龄化和以人为中心的护理的基础.
- 目前的临床评估和政策不足以代表自主性.
- 需要有效的仪器来测量老年人的自主性.
研究的目的:
- 系统地审查患者报告和临床医生报告的60岁及以上成年人的自主性结果.
- 根据COSMIN方法来评估这些仪器的心理特征.
- 确定用于研究和临床实践的推工具.
主要方法:
- 对116项涉及42个国家的861,338名老年人的研究进行了系统的文献审查.
- 基于结构有效性,可靠性,内部一致性,跨文化有效性和响应能力,对50个工具的评估.
- 遵守基于共识的健康测量仪器选择标准 (COSMIN) 方法.
主要成果:
- 高质量的证据支持结构有效性 (29个工具),内部一致性 (33个工具) 和测试-重新测试可靠性 (17个工具).
- 在所有评估的工具中,内容的有效性和响应性往往是不够的.
- 14个工具符合COSMINA类别A标准,表明它们适合推.
结论:
- 虽然一些仪器表现出足够的心理测量特性,但在跨文化有效性和响应性方面存在重大差距.
- 迫切需要具有国际一致性,具有文化强度和共同创建的自主评估工具.
- 卫生当局应实施经过验证的自治措施,以告知政策和资源分配.
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