Ryan Jamie L, Arnett Alex D, Pai Ahna L H, Modi Avani C
Cincinnati Children's Hospital Medical Center, Division of Behavioral Medicine and Clinical Psychology, Center for Adherence and Self-Management, 3333 Burnet Ave., MLC 7039, Cincinnati, OH 45229-3039, USA.
Epilepsy Behav. 2014 Dec;41:1-5. doi: 10.1016/j.yebeh.2014.08.136. Epub 2014 Sep 29.
The purpose of the current study was to examine the psychometric properties of the adapted Allocation of Treatment Responsibility (ATR) scale and the distribution of tasks related to oral medication and clinic and laboratory visits in a sample of adolescents with epilepsy. Adolescents with epilepsy (N = 50; ages 13-17 years) and their caregivers completed the adapted ATR and a measure of medication management. Internal consistency for the adapted ATR was strong (total and subscale range: 0.75-0.97). Validity was partially supported by significant correlations between adolescent age and ATR oral medication responsibility for both respondent measures. Allocation of Treatment Responsibility total scores were not associated with adherence to medications and clinic appointments. Initial findings are promising and have important implications for assessing the distribution of treatment responsibility among adolescents with epilepsy and their families.
本研究的目的是检验适配版治疗责任分配（ATR）量表的心理测量特性，以及癫痫青少年样本中与口服药物、门诊及实验室检查相关任务的分配情况。癫痫青少年（N = 50；年龄13 - 17岁）及其照料者完成了适配版ATR量表和一项药物管理测量。适配版ATR量表的内部一致性较强（总量表及分量表范围：0.75 - 0.97）。青少年年龄与两个应答者测量指标的ATR口服药物责任之间的显著相关性部分支持了效度。治疗责任分配总分与药物依从性及门诊预约无关。初步研究结果很有前景，对评估癫痫青少年及其家庭之间的治疗责任分配具有重要意义。
