评估康复过程中的治疗性沟通：模式的临床评估
Assessing Therapeutic Communication During Rehabilitation: The Clinical Assessment of Modes.
作者信息
Fan Chia-Wei, Taylor Renée R
机构信息
Chia-Wei Fan, PhD, is Departmental Research Affiliate, Department of Occupational Therapy, University of Illinois at Chicago.
Renée R. Taylor, PhD, is Professor, Department of Occupational Therapy, University of Illinois at Chicago;
出版信息
Am J Occup Ther. 2016 Jul-Aug;70(4):7004280010. doi: 10.5014/ajot.2016.018846.
OBJECTIVE
This study applied Rasch analysis to test four versions of the Clinical Assessment of Modes (CAM), an assessment based on Taylor's Intentional Relationship Model: CAM-P, which assesses clients' pretreatment preferences; CAM-E, clients' treatment experience; CAM-T, therapists' self-reported perspective; and CAM-O, an observer rating scale.
METHOD
The CAM-P was administered to 63 inpatients. The CAM-E was administered to 110 inpatients and outpatients. Trained raters rated therapists' modes with 59 inpatients and outpatients on the CAM-O. The CAM-T was administered to 38 therapists. Analyses of reliability and validity were conducted.
RESULTS
The CAM demonstrated adequate construct validity. All versions showed acceptable internal consistency and unidimensionality within each of the subscales. Disorder between the 5 points on the ordinal rating scale was found for the client measures (CAM-P, CAM-E) and was resolved by modifying the ratings to encompass a 4-point scale.
CONCLUSION
The four CAM versions are reliable and valid measures of therapeutic communication in rehabilitation.
目的
本研究应用拉施分析来测试四种版本的模式临床评估（CAM），这是一种基于泰勒意向关系模型的评估：CAM - P，评估患者治疗前的偏好；CAM - E，患者的治疗体验；CAM - T，治疗师的自我报告视角；以及CAM - O，一种观察者评定量表。
方法
对63名住院患者进行了CAM - P评估。对110名住院患者和门诊患者进行了CAM - E评估。训练有素的评定者使用CAM - O对59名住院患者和门诊患者的治疗师模式进行评定。对38名治疗师进行了CAM - T评估。进行了信度和效度分析。
结果
CAM显示出足够的结构效度。所有版本在每个子量表内均显示出可接受的内部一致性和单维度性。在患者测量指标（CAM - P、CAM - E）的顺序评定量表的5分之间发现了无序情况，并通过将评定修改为包含4分制得以解决。
结论
四个CAM版本是康复中治疗性沟通的可靠且有效的测量工具。
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