在机构养老的老年人干预研究中使用攻击行为评定量表的一些方法学问题。
Some methodological issues in using aggression rating scales in intervention studies among institutionalized elderly.
作者信息
Shah A
机构信息
Imperial College School of Medicine, London, England, UK.
出版信息
Int Psychogeriatr. 1999 Dec;11(4):439-44. doi: 10.1017/s1041610299006055.
BACKGROUND
Aggressive behavior among geriatric psychiatry inpatients spontaneously declines during serial measurements over time with rating scales.
METHOD
Evidence for decline in aggressive behavior, over a 6-week period, on a continuing-care geriatric psychiatry ward was examined with the Staff Observation Aggression Scale (SOAS) and the Rating Scale for Aggressive Behavior in the Elderly (RAGE).
RESULTS
The RAGE and all its subitems did not spontaneously decline. The total number of aggressive incidents on the SOAS, the SOAS total score, and the subitem scores, except for the SOAS results subitem, spontaneously declined after Week 4 and became established by Week 5.
CONCLUSION
A "run in" period of at least 4 weeks may be needed in intervention studies using the SOAS to reduce contamination by spontaneous decline.
背景
随着时间的推移，使用评定量表对老年精神病住院患者进行系列测量时，其攻击行为会自发减少。
方法
在一个持续护理的老年精神病病房，采用工作人员观察攻击量表（SOAS）和老年人攻击行为评定量表（RAGE），对6周内攻击行为减少的证据进行了检查。
结果
RAGE及其所有子项目并未自发下降。SOAS上的攻击事件总数、SOAS总分以及除SOAS结果子项目外的子项目得分在第4周后自发下降，并在第5周稳定下来。
结论
在使用SOAS的干预研究中，可能需要至少4周的“磨合”期，以减少自发下降带来的干扰。
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