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测量脑损伤后的心理社会康复:变化与能力

Measuring psychosocial recovery after brain injury: change versus competency.

作者信息

Tate Robyn L, Pfaff Anne, Veerabangsa Ahamed, Hodgkinson Adeline E

机构信息

Rehabilitation Studies Unit, Department of Medicine, University of Sydney and Royal Rehabilitation Centre Sydney, Ryde, Australia.

出版信息

Arch Phys Med Rehabil. 2004 Apr;85(4):538-45. doi: 10.1016/j.apmr.2003.08.078.

DOI:10.1016/j.apmr.2003.08.078
PMID:15083428
Abstract

OBJECTIVES

To determine the psychometric properties of an alternative form of the Sydney Psychosocial Reintegration Scale (SPRS) that focuses on competency of functioning (Form B) as opposed to the original form that examines change from the premorbid level (Form A).

DESIGN

Descriptive correlational study. Ratings were made by 2 treating clinicians on patients at discharge and 1 week later by using Forms A and B of the SPRS. A subset of 25 close relatives of the patients also completed the 2 SPRS forms and the London Handicap Scale at patient discharge.

SETTING

Inpatient brain injury rehabilitation unit.

PARTICIPANTS

Sixty-six people with brain injury.

INTERVENTIONS

Not applicable. Main outcome measure The SPRS is a 12-item questionnaire, rated on a 7-point scale, that measures function in occupational, interpersonal, and living skills domains.

RESULTS

The internal consistency of Form B was high (alpha=.90), as was stability (intraclass correlation coefficient [ICC]=.90) and interrater agreement (ICC=.84). Similarly, good psychometric properties were found for Form A for internal consistency (alpha=.90), stability (ICC=.90) and interrater agreement (ICC=.82), which replicated previous findings with this form. Comparability between forms was excellent (ICC=.97), and correspondence between ratings of the clinician and close relatives on Forms A and B was fair to good (ICC=.57, ICC=.67, respectively).

CONCLUSIONS

Form B of the SPRS has psychometric properties equally sound to those of Form A. It is anticipated that there will be many advantages in having alternative forms of the same instrument, thus enabling measurement of psychosocial integration from different perspectives.

摘要

目的

确定悉尼心理社会重新融入量表(SPRS)的另一种形式(侧重于功能能力的B表)的心理测量特性,以区别于最初检查病前水平变化的A表。

设计

描述性相关研究。两名治疗临床医生在患者出院时使用SPRS的A表和B表进行评分,并在1周后再次评分。25名患者的近亲子集在患者出院时也完成了两份SPRS表格和伦敦残疾量表。

地点

住院脑损伤康复科。

参与者

66名脑损伤患者。

干预措施

不适用。主要结局指标SPRS是一份包含12个条目的问卷,采用7分制评分,测量职业、人际和生活技能领域的功能。

结果

B表的内部一致性较高(α=0.90),稳定性(组内相关系数[ICC]=0.90)和评分者间一致性(ICC=0.84)也较高。同样,A表在内部一致性(α=0.90)、稳定性(ICC=0.90)和评分者间一致性(ICC=0.82)方面也具有良好的心理测量特性,这重复了之前使用该表的研究结果。两种表格之间的可比性极佳(ICC=0.97),临床医生和近亲对A表和B表评分之间的一致性为中等至良好(分别为ICC=0.57,ICC=0.67)。

结论

SPRS的B表具有与A表同样可靠的心理测量特性。预计同一工具的不同形式将有许多优点,从而能够从不同角度测量心理社会融合情况。

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引用本文的文献

1
Measuring community integration after spinal cord injury: validation of the Sydney psychosocial reintegration scale and community integration measure.脊髓损伤后社区融入的测量:悉尼心理社会再融入量表和社区融入度量表的验证。
Qual Life Res. 2010 Oct;19(8):1185-93. doi: 10.1007/s11136-010-9685-6. Epub 2010 Jun 27.