Tsang H, Pearson V
Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hunghom, Hong Kong.
Can J Occup Ther. 2000 Oct;67(4):250-9. doi: 10.1177/000841740006700407.
The literature shows that social and vocational impairments are common problems among people with schizophrenia. However, assessment instruments available for measuring social competence of people with schizophrenia in the workplace are limited. This article describes a two-part measure developed and validated based on a model (Tsang & Pearson, 1996) for assessing social skills necessary for seeking and maintaining a job for people with schizophrenia. The measure consists of a 10 item self-administered checklist and a role-play exercise. The self-administered checklist measures clients' perceived competence in handling work-related social situations. The role-play exercise assesses the social skills necessary for job acquisition and maintenance in two simulated situations (participating in a simulated job interview and requesting urgent leave from work). Cronbach alpha coefficients (self-administered checklist: .80 (n = 140); role-play test: .96 (n = 60)) show that both parts had good internal consistency. In addition, correlation coefficients show that the self-administered checklist has acceptable test-retest reliability (.35 to .78), and the role-play exercise has good interrater reliability (.77 to .90). The concurrent validity is also shown to be good for both parts of the measure using the method of contrasted groups. It is suggested that this measure is suitable for use by clinicians, rehabilitation administrators and researchers. Application of the instrument in other countries is discussed. Finally, further research is suggested.
文献表明,社会和职业障碍是精神分裂症患者中常见的问题。然而,可用于测量精神分裂症患者在工作场所社交能力的评估工具有限。本文介绍了一种基于一个模型(曾 & 皮尔逊,1996年)开发并验证的两部分测量方法,用于评估精神分裂症患者寻找和维持工作所需的社交技能。该测量方法包括一份10项的自我管理清单和一个角色扮演练习。自我管理清单测量客户在处理与工作相关的社交情境中的感知能力。角色扮演练习评估在两种模拟情境(参加模拟求职面试和请求紧急休假)中获得和维持工作所需的社交技能。克朗巴赫α系数(自我管理清单:.80(n = 140);角色扮演测试:.96(n = 60))表明两部分都具有良好的内部一致性。此外,相关系数表明自我管理清单具有可接受的重测信度(.35至.78),角色扮演练习具有良好的评分者间信度(.77至.90)。使用对比组方法也表明该测量方法两部分的同时效度良好。建议该测量方法适用于临床医生、康复管理人员和研究人员。讨论了该工具在其他国家的应用。最后,提出了进一步的研究建议。