Ornstein Katherine A, Teresi Jeanne A, Ocepek-Welikson Katja, Ramirez Mildred, Meier Diane E, Morrison R Sean, Siu Albert L
Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Research Division, Hebrew Home at Riverdale, New York, New York, USA; Measurement and Data Management Core, Mount Sinai Medical Center, New York, New York, USA; Columbia University Stroud Center, New York State Psychiatric Institute, New York, New York, USA.
J Pain Symptom Manage. 2015 May;49(5):894-903.e1-4. doi: 10.1016/j.jpainsymman.2014.10.017. Epub 2014 Dec 27.
Family satisfaction is an important and commonly used research measure. Yet current measures of family satisfaction are lengthy and may be unnecessarily burdensome--particularly in the setting of serious illness.
To use an item bank to develop short forms of the Family Satisfaction with End-of-Life Care (FAMCARE) scale, which measures family satisfaction with care.
To shorten the existing 20-item FAMCARE measure, item response theory parameters from an item bank were used to select the most informative items. The psychometric properties of the new short-form scales were examined. The item bank was based on data from family members from an ethnically diverse sample of 1983 patients with advanced cancer.
Evidence for the new short-form scales supported essential unidimensionality. Reliability estimates from several methods were relatively high, ranging from 0.84 for the five-item scale to 0.94 for the 10-item scale across different age, gender, education, ethnic, and relationship groups.
The FAMCARE-10 and FAMCARE-5 short-form scales evidenced high reliability across sociodemographic subgroups and are potentially less burdensome and time-consuming scales for monitoring family satisfaction among seriously ill patients.
家庭满意度是一项重要且常用的研究指标。然而，目前的家庭满意度测量方法冗长，可能会带来不必要的负担——尤其是在重病情况下。
利用项目库开发临终护理家庭满意度（FAMCARE）量表的简版，该量表用于测量家庭对护理的满意度。
为缩短现有的20项FAMCARE测量方法，利用项目库中的项目反应理论参数来选择最具信息量的项目。对新简版量表的心理测量特性进行了检验。该项目库基于来自1983名晚期癌症患者的不同种族样本的家庭成员的数据。
新简版量表的证据支持基本单维性。几种方法的信度估计相对较高，在不同年龄、性别、教育程度、种族和关系组中，五项量表的信度为0.84，十项量表的信度为0.94。
FAMCARE - 10和FAMCARE - 5简版量表在社会人口亚组中具有较高的信度，并且对于监测重症患者的家庭满意度而言，可能是负担较小且耗时较短的量表。
