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测量精神障碍人士住房服务中参与有意义的居家活动的机会:住房活动感知意义量表(PMA-H)的编制。

Measuring Opportunities for Engaging in Meaningful Home-Based Activities in Housing Services for People With Psychiatric Disabilities: Development of the Perceived Meaning of Activity in Housing (PMA-H).

机构信息

1 Department of Health Sciences, Mental Health, Activity and Participation (MAP), Lund University, Lund, Sweden.

2 Department of Health and Caring Sciences, Linneaus University, Växjö, Sweden.

出版信息

Eval Health Prof. 2019 Jun;42(2):131-147. doi: 10.1177/0163278717727333. Epub 2017 Aug 23.

DOI:10.1177/0163278717727333
PMID:28835117
Abstract

There is a scarcity of instruments for assessing opportunities for residents with psychiatric disabilities to engage in meaningful home-based activities. We thus developed the Perceived Meaning of Activity in Housing (PMA-H), containing four subscales (activity opportunities, social interaction, developing as a person, and organization and planning). The aim of the study was to investigate the content validity, utility, internal consistency and concurrent and criterion validity of the PMA-H, as well as possible floor and ceiling effects. One hundred and fifty-five residents in supported housing (SH) and 111 in ordinary housing with support (OHS) completed the PMA-H. The SH group also competed the Community-Oriented Programs Environment Scale (COPES). A majority of the participants found the content of the PMA-H relevant, easy to complete, and the time for completion as reasonable. Internal consistency varied between 0.85 and 0.92 for the subscales. Logical associations with COPES indicated construct validity. The subscales social interaction and developing as a person could discriminate between the SH and OHS groups, whereas activity opportunities could not. No floor or ceiling effects were found. This study indicated adequate initial psychometric properties of the PMA-H. It can thus be used in housing settings to assess the residents' perceived opportunities for meaningful activity in the housing context.

摘要

评估精神病残疾居民参与有意义的家庭活动的机会的工具十分匮乏。因此,我们开发了住房活动感知意义量表(PMA-H),包含四个分量表(活动机会、社会互动、个人发展和组织规划)。本研究旨在调查 PMA-H 的内容效度、实用性、内部一致性以及同时和效标效度,同时也研究了可能的地板效应和天花板效应。155 名住在支持性住房(SH)的居民和 111 名住在普通住房并接受支持(OHS)的居民完成了 PMA-H 量表。SH 组还完成了社区导向项目环境量表(COPES)。大多数参与者认为 PMA-H 的内容相关、易于完成,完成时间合理。分量表的内部一致性在 0.85 到 0.92 之间。与 COPES 的逻辑关联表明了其结构效度。社会互动和个人发展这两个分量表可以区分 SH 和 OHS 组,而活动机会则不能。没有发现地板效应或天花板效应。这项研究表明 PMA-H 具有良好的初步心理测量学特性。因此,它可以在住房环境中用于评估居民在住房环境中感知到的有意义活动的机会。

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