Iris Madelyn, Conrad Kendon J, Ridings John
a Leonard Schanfield Research Institute, CJE SeniorLife , Chicago , Illinois , USA.
J Elder Abuse Negl. 2014;26(4):365-97. doi: 10.1080/08946566.2013.801818.
The purpose of this study was to improve measurement of elder self-neglect by testing the psychometric properties of the Elder Self-Neglect Assessment (ESNA). Social workers, case managers, and adult protective services providers from 13 Illinois agencies completed a 77-item assessment for 215 clients suffering from self neglect. Analyses used Rasch item response theory and traditional validation approaches to test for dimensionality, model fit, and additional construct validation, resulting in a 62-item assessment. The ESNA met Rasch fit criteria with good internal consistency, item reliability, and construct validity. A 25-item short form also met Rasch criteria. A hierarchy of items associated with severity of abuse was produced by frequency of occurrence. ESNA indicators of self-neglect align into two broad categories: behavioral characteristics and environmental factors, which must be accounted for in a comprehensive evaluation. Theoretical refinements developed using the empirically generated item hierarchy may help to improve assessment and intervention.
本研究的目的是通过测试老年人自我忽视评估量表（ESNA）的心理测量特性，改进对老年人自我忽视的测量。来自伊利诺伊州13个机构的社会工作者、个案管理员和成人保护服务提供者，对215名自我忽视的客户完成了一项包含77个条目的评估。分析采用拉施克项目反应理论和传统验证方法，以检验维度、模型拟合度和其他结构效度，最终形成了一个包含62个条目的评估量表。ESNA符合拉施克拟合标准，具有良好的内部一致性、项目信度和结构效度。一个包含25个条目的简版量表也符合拉施克标准。根据出现频率生成了与虐待严重程度相关的项目层次结构。ESNA的自我忽视指标可分为两大类：行为特征和环境因素，在综合评估中必须予以考虑。利用实证生成的项目层次结构进行的理论完善，可能有助于改进评估和干预。
