Yoon Ju Young, Kim Hongsoo
1PhD, RN, Assistant Professor, College of Nursing, Research Institute of Nursing Science, Seoul National University, South Korea 2PhD, MPH, RN, Professor, Department of Public Health Science at Graduate School of Public Health, Institute of Aging, and Institute of Health and Environment, Seoul National University, South Korea.
J Nurs Res. 2017 Jun;25(3):216-223. doi: 10.1097/JNR.0000000000000156.
Social engagement is known to be an important factor that affects the quality of life and the psychological well-being of residents in long-term care settings. Few studies have examined social engagement in long-term care facilities in non-Western countries.
This study aimed to evaluate the validity and reliability of the revised index for social engagement (RISE), which was derived from the Korean version of the interRAI Long Term Care Facilities instrument.
Three hundred fourteen older adults from 10 nursing homes in Korea were included in the study. Convergent and discriminant validities were tested using correlation analysis and t tests, respectively. Factor analysis was adopted to examine the factor structure. The reliability of the RISE was tested using Cronbach's alpha values for internal consistency, and interrater reliability was tested using item kappa values and intraclass correlation coefficients.
The RISE showed excellent convergent validity with the average time involved in activities (r = .58). The known-group comparison showed a significant difference in the means of RISE between the group with cognitive impairment and the group without cognitive impairment, indicating satisfactory discriminant validity. Factor analysis showed a good model fit for two factors in the RISE: group involvement and interaction with others. The RISE showed satisfactory internal consistency (α ≥ .70) and adequate interrater reliability (≥.40).
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The RISE is a valid and reliable tool for measuring the social engagement of nursing home residents in Korea. Furthermore, this tool may be a useful instrument for assessing older ethnic Korean residents who reside in nursing homes that are located outside Korea.
社会参与是影响长期护理机构中居民生活质量和心理健康的重要因素。很少有研究考察非西方国家长期护理机构中的社会参与情况。
本研究旨在评估修订后的社会参与指数（RISE）的有效性和可靠性，该指数源自韩国版的 interRAI 长期护理机构评估工具。
本研究纳入了韩国 10 家养老院的 314 名老年人。分别采用相关分析和 t 检验来检验聚合效度和区分效度。采用因子分析来考察因子结构。使用 Cronbach's alpha 值检验 RISE 的内部一致性可靠性，使用项目卡方值和组内相关系数检验评分者间信度。
RISE 与活动参与的平均时间显示出良好的聚合效度（r = 0.58）。已知组比较显示，认知障碍组和非认知障碍组的 RISE 均值存在显著差异，表明具有令人满意的区分效度。因子分析表明，RISE 的两个因子（群体参与和与他人互动）具有良好的模型拟合度。RISE 显示出令人满意的内部一致性（α≥0.70）和足够的评分者间信度（≥0.40）。
结论/实践意义：RISE 是测量韩国养老院居民社会参与的有效且可靠的工具。此外，该工具可能是评估居住在韩国境外养老院的朝鲜族老年居民的有用工具。
