一个反映艾滋病毒感染者认知关切的条目库的开发。
Development of an Item Pool Reflecting Cognitive Concerns Expressed by People With HIV.
作者信息
Askari Sorayya, Fellows Lesley, Brouillette Marie-Josée, Moriello Carolina, Duracinsky Martin, Mayo Nancy E
机构信息
Sorayya Askari, PhD, is Occupational Therapist, School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Lesley Fellows, MD, DPhil, is Assistant Dean, Department of Neurology and Neurosurgery, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
出版信息
Am J Occup Ther. 2018 Mar/Apr;72(2):7202205070p1-7202205070p9. doi: 10.5014/ajot.2018.023945.
OBJECTIVE
The overall aim of this study is to create an item pool reflecting the cognitive concerns expressed by people with HIV as a first step toward developing such a measure.
METHOD
Semiqualitative interviews with 292 people with HIV were carried out. Their concerns were mapped to neurocognitive domains to identify concern content areas and were compared with existing cognitive questionnaires. A questionnaire was developed to estimate the prevalence and importance of the items.
RESULTS
Sixty of 125 items were retained in the questionnaire based on ratings of their prevalence, importance, and clarity. Memory and behavioral and emotional concerns were the most common content areas (15 each); other domains were attention (7), executive function (6), language (5), and cognitive change (12).
CONCLUSION
People living with HIV experience difficulties in all domains of cognition. By recognizing all domains, this new measure can help clinicians better understand areas of perceived cognitive difficulty and plan interventions accordingly.
目的
本研究的总体目标是创建一个反映艾滋病毒感染者所表达的认知问题的项目库，作为开发此类测量方法的第一步。
方法
对292名艾滋病毒感染者进行了半定性访谈。他们的问题被映射到神经认知领域，以确定问题内容领域，并与现有的认知问卷进行比较。开发了一份问卷来评估项目的普遍性和重要性。
结果
根据项目的普遍性、重要性和清晰度评分，问卷中保留了125个项目中的60个。记忆以及行为和情感问题是最常见的内容领域（各15个）；其他领域包括注意力（7个）、执行功能（6个）、语言（5个）和认知变化（12个）。
结论
艾滋病毒感染者在认知的所有领域都存在困难。通过认识到所有领域，这种新的测量方法可以帮助临床医生更好地理解感知到的认知困难领域，并据此规划干预措施。
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