Yorkston Kathryn M, Kuehn Carrie M, Johnson Kurt L, Ehde Dawn M, Jensen Mark P, Amtmann Dagmar
Department of Rehabilitation Medicine, University of Washington, Seattle 98195-6490, USA.
Disabil Rehabil. 2008;30(2):88-97. doi: 10.1080/09638280701191891.
To compare three dimensions related to participation in everyday situations in community-dwelling adults with multiple sclerosis (MS).
Mail survey was obtained from 112 respondents. Data were analyzed using Kendall's tau-b correlation coefficients between responses to participation items relative to three question dimensions (importance, frequency, and self-efficacy) and criterion variables (mobility, depression, general health, fatigue and pain).
No significant associations were found between item responses in the importance dimension and the criterion variables. Weak associations were found for items in the frequency dimension, and stronger associations were found for items in the self-efficacy dimension.
Different dimensions of participation in specific life situations yielded different responses and associations of those responses with key criterion measures. Subjective importance of participating in everyday situations is relatively independent of measures of mobility, general health, depression, fatigue and pain. Subjective judgments of self-efficacy for participation are more closely linked to these criterion measures. Caution is warranted when interpreting scales of participation because participation is a complex construct, potentially composed of several dimensions.
比较社区居住的成年多发性硬化症(MS)患者在日常活动中参与度的三个维度。
对112名受访者进行邮件调查。使用肯德尔tau-b相关系数分析数据,该系数用于衡量参与项目在三个问题维度(重要性、频率和自我效能感)上的回答与标准变量( mobility、抑郁、总体健康、疲劳和疼痛)之间的关系。
在重要性维度上的项目回答与标准变量之间未发现显著关联。在频率维度上的项目发现了弱关联,而在自我效能感维度上的项目发现了更强的关联。
参与特定生活情境的不同维度产生了不同的回答,以及这些回答与关键标准测量之间的关联。参与日常活动的主观重要性相对独立于 mobility、总体健康、抑郁、疲劳和疼痛的测量。参与的自我效能感的主观判断与这些标准测量联系更紧密。在解释参与度量表时需谨慎,因为参与是一个复杂的概念,可能由多个维度组成。