残疾服务标准描述与比较工具（DESDE）的开发及效用
Development and usefulness of an instrument for the standard description and comparison of services for disabilities (DESDE).
作者信息
Salvador-Carulla L, Poole M, Gonzalez-Caballero J L, Romero C, Salinas J A, Lagares-Franco C M
机构信息
PSICOST/RIRAG Research Association, Jerez de la Frontera, Spain.
出版信息
Acta Psychiatr Scand Suppl. 2006(432):19-28. doi: 10.1111/j.1600-0447.2006.00916.x.
OBJECTIVE
Mental health research has made significant progress in international comparison and instrument development. This study reports the adaptation of the European Service Mapping Schedule (ESMS) to the assessment of services for persons with disabilities.
METHOD
Qualitative groups were used to develop the Description and Evaluation of Services for Disabilities in Europe (DESDE). The psychometric analysis of DESDE covered: feasibility, inter-rater reliability, descriptive validity and internal validity. A demonstration study was also carried out.
RESULTS
Compared to the original ESMS, a new main branch and several sub-branches were added. We identified 826 services for persons with disabilities, which provided 1284 main types of care. The feasibility and reliability was good for the majority of codes. Only 6% of services were not properly classified. The Boolean factor analysis supported the internal validity of DESDE.
CONCLUSION
DESDE is a useful and reliable instrument for the assessment of services for persons with disabilities.
目的
心理健康研究在国际比较和工具开发方面取得了重大进展。本研究报告了欧洲服务映射表（ESMS）在评估残疾人服务方面的适应性。
方法
采用定性小组来开发欧洲残疾人服务描述与评估（DESDE）。DESDE的心理测量分析涵盖：可行性、评分者间信度、描述效度和内部效度。还进行了一项示范研究。
结果
与原始的ESMS相比，增加了一个新的主要分支和几个子分支。我们识别出826项残疾人服务，这些服务提供了1284种主要护理类型。大多数编码的可行性和信度良好。只有6%的服务分类不当。布尔因子分析支持了DESDE的内部效度。
结论
DESDE是评估残疾人服务的一种有用且可靠的工具。
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