Barnard-Brak Lucy, Richman David M, Owen Donna C
Educational Psychology & Leadership, Texas Tech University, Lubbock, Texas, USA.
School of Nursing, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Psychogeriatrics. 2018 Sep;18(5):388-392. doi: 10.1111/psyg.12336. Epub 2018 Jul 10.
We examined a screening instrument to assess risk for wandering among individuals with Alzheimer's disease and dementia according to caregiver informants.
Pilot data were collected on the Risk of Wandering (RoW) screening instrument by 48 responses from an online survey using the Alzheimer's Association Trial Match system.
Results indicated acceptable evidence of the internal consistency of scores for the data obtained, α = 0.81. Receiver operating characteristic curve results indicated acceptable evidence of the screening instrument scores' ability to discriminate between individuals who eloped and those who did not wander off, AUC = 0.72, P = 0.003.
A cut-off score for future use is suggested along with directions for future research. The development of a screening instrument would appear to be preferable to restricting the movement of these individuals or unnecessarily invading their privacy through monitoring devices while simultaneously balancing the desire to prevent distress, serious injury, or death.
我们根据照料者提供的信息，研究了一种用于评估阿尔茨海默病和痴呆症患者走失风险的筛查工具。
通过使用阿尔茨海默病协会试验匹配系统进行的在线调查收集了48份关于走失风险（RoW）筛查工具的试点数据。
结果表明所获得数据的分数内部一致性证据可接受，α = 0.81。受试者工作特征曲线结果表明筛查工具分数区分走失者和未走失者的能力证据可接受，曲线下面积（AUC）= 0.72，P = 0.003。
建议了未来使用的临界分数以及未来研究方向。开发一种筛查工具似乎比限制这些人的行动或通过监控设备不必要地侵犯他们的隐私更可取，同时平衡预防痛苦、严重伤害或死亡的愿望。
