Housen Patricia, Shannon George R, Simon Barbara, Edelen Maria Orlando, Cadogan Mary P, Jones Malia, Buchanan Joan, Saliba Debra
Veterans Administration Greater Los Angeles Healthcare System Geriatric Research Education and Clinical Center, USA.
J Gerontol Nurs. 2009 Nov;35(11):40-9. doi: 10.3928/00989134-20091001-01. Epub 2009 Nov 6.
This research evaluated a draft preference assessment tool (draft-PAT) designed to replace the current Customary Routine section of the Minimum Data Set (MDS) for nursing homes. The draft-PAT was tested with a sample of nursing home residents to evaluate survey-level administration time and noncompletion rates, as well as item-level nonresponse rates, response distributions, and test-retest reliability. Modifications to the draft-PAT were then retested with a subsample of residents. Completion times were brief (generally less than 10 minutes), and only a small percentage of residents were unable to complete the interview. Item-level nonresponse rates were low for the draft-PAT (0% to 8%) and even lower during retesting for items advanced to the national field trial (0% to 4%). Item response distributions indicated reasonable use of all options across both testing occasions, and item-level test-retest reliability was high. This study found that nursing home residents can reliably report their preferences. Eighteen items from the modified draft-PAT were advanced to the national field trial of the MDS 3.0. Inclusion of the PAT in the MDS revision underscores increased emphasis on including residents' voice in the assessment process.
本研究评估了一种旨在取代疗养院最低数据集（MDS）当前常规部分的偏好评估工具草案（草案 - PAT）。该草案 - PAT在一组疗养院居民样本上进行了测试，以评估调查层面的管理时间和未完成率，以及项目层面的无回答率、回答分布和重测信度。然后，对草案 - PAT的修改版本在一部分居民子样本上进行了重新测试。完成时间很短（通常少于10分钟），只有一小部分居民无法完成访谈。草案 - PAT的项目层面无回答率较低（0%至8%），在推进到全国现场试验的项目重新测试期间甚至更低（0%至4%）。项目回答分布表明在两次测试中所有选项都得到了合理使用，并且项目层面的重测信度很高。本研究发现疗养院居民能够可靠地报告他们的偏好。修改后的草案 - PAT中的18个项目被推进到MDS 3.0的全国现场试验。将PAT纳入MDS修订版突出了在评估过程中对纳入居民意见的日益重视。
