一种评估痴呆患者社会功能的工具的开发：痴呆社会功能量表（SF-DEM）。
Development of an instrument to assess social functioning in dementia: The Social Functioning in Dementia scale (SF-DEM).
作者信息
Sommerlad Andrew, Singleton David, Jones Rebecca, Banerjee Sube, Livingston Gill
机构信息
Division of Psychiatry, University College London, London, UK; Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK.
Division of Psychiatry, University College London, London, UK.
出版信息
Alzheimers Dement (Amst). 2017 Feb 24;7:88-98. doi: 10.1016/j.dadm.2017.02.001. eCollection 2017.
INTRODUCTION
Social functioning is a core domain in the life of people with dementia, but there is no accepted instrument to measure it. We aimed to develop the Social Functioning in Dementia (SF-DEM) scale and test its psychometric properties for assessing social function in people with dementia.
METHODS
We interviewed people with mild dementia and family caregivers to develop patient and caregiver-rated SF-DEM versions and refined them through interviews with health care professionals. We tested its psychometric properties in 30 dyads of people with dementia and family caregivers.
RESULTS
Both SF-DEM versions had content validity and demonstrated concurrent validity against a single item rating overall social functioning (patient rated = 0.42, 95% CI [0.07-0.68]; caregiver rated = 0.59, 95% CI [0.29-0.78]). All participants found it acceptable. Analyses showed reliability (test-retest, inter-rater, internal consistency) and indications of responsiveness to change.
DISCUSSION
SF-DEM shows promise as a valid, reliable, acceptable measure of social functioning in dementia.
引言
社交功能是痴呆症患者生活中的一个核心领域，但目前尚无公认的测量工具。我们旨在开发痴呆症社交功能（SF-DEM）量表，并测试其用于评估痴呆症患者社交功能的心理测量特性。
方法
我们采访了轻度痴呆症患者及其家庭护理人员，以开发患者自评和护理人员自评的SF-DEM版本，并通过与医疗保健专业人员的访谈对其进行完善。我们在30对痴呆症患者及其家庭护理人员中测试了其心理测量特性。
结果
两个SF-DEM版本均具有内容效度，并与单项总体社交功能评分显示出同时效度（患者自评=0.42，95%置信区间[0.07-0.68]；护理人员自评=0.59，95%置信区间[0.29-0.78]）。所有参与者都认为它是可接受的。分析显示了可靠性（重测、评分者间、内部一致性）以及对变化的反应性迹象。
讨论
SF-DEM有望成为一种有效、可靠且可接受的痴呆症社交功能测量工具。
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