Goetz S M, Stuck A E, Hirschi A, Gillmann G, Dapp U, Minder C E, Beck J C
Medizinische Abteilung C. L. Lory-Haus, Inselspital, Bern.
Soz Praventivmed. 2000;45(3):134-46. doi: 10.1007/BF01299284.
In an earlier study we have shown good internal consistency and test-retest-reliability of a newly developed German-language instrument in the interviewer-administered version. The aim of this study was to test the reliability of a self-administered version compared to the original interviewer-administered version of our newly developed German-language instrument. We recruited a group of 50 over 75-year-old community-dwelling persons in Hamburg, Germany (N = 25) and Berne, Switzerland (N = 25). The questionnaire contains items on: self-perceived health, chronic conditions, basic and instrumental activities of daily living, urinary incontinence, nutrition, recent falls, pain, the social support/network and preventive-care measures. In addition, the Functional Status Questionnaire, the Physical Activity Scale for the Elderly, the Geriatric Oral Health Assessment Index, the Visual Function Questionnaire, the Hearing Handicap Inventory for the Elderly and the Geriatric Depression Scale were administered. Cohen's Kappa (self-administered version compared to the interviewer-administered version) was good to excellent (0.69-1.0) with only three exceptions (physical activity kappa = 0.49, basic activities kappa = 0.54 and oral health kappa = 0.54). For the domains activities of daily living, oral health, visual function and depression the self-administered version detected significantly more problems than the interview. In the future the self-administered version of this assessment instrument can be used for various purposes, e.g. (annual) preventive geriatric assessment for outpatients and other community-dwelling persons and epidemiological studies in older persons.
在一项早期研究中,我们已经表明,一种新开发的德文工具的访谈者施测版本具有良好的内部一致性和重测信度。本研究的目的是测试该新开发的德文工具的自填式版本与原始访谈者施测版本相比的信度。我们在德国汉堡招募了一组50名75岁以上的社区居住者(N = 25)和瑞士伯尔尼的25名社区居住者(N = 25)。问卷包含以下方面的项目:自我感知健康、慢性病、日常生活的基本和工具性活动、尿失禁、营养、近期跌倒、疼痛、社会支持/网络以及预防保健措施。此外,还施测了功能状态问卷、老年人身体活动量表、老年口腔健康评估指数、视觉功能问卷、老年人听力障碍量表和老年抑郁量表。科恩kappa系数(自填式版本与访谈者施测版本相比)良好至优秀(0.69 - 1.0),仅有三个例外(身体活动kappa = 0.49,基本活动kappa = 0.54,口腔健康kappa = 0.54)。对于日常生活活动、口腔健康、视觉功能和抑郁等领域,自填式版本比访谈发现的问题显著更多。未来,这种评估工具的自填式版本可用于各种目的,例如对门诊患者和其他社区居住者进行(年度)预防性老年评估以及老年人的流行病学研究。