精神疾病患者自我报告的日常生活活动量表的信度和效度。
Reliability and validity of the self-reported Activities of Daily Living Scale for people with mental illness.
作者信息
Pan Ay-Woan, Wu Chao-Yi, Chung LyInn, Chen Tsyr-Jang
机构信息
School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
出版信息
Hong Kong J Occup Ther. 2018 Dec;31(2):115-124. doi: 10.1177/1569186118819891. Epub 2019 Jan 3.
BACKGROUND/OBJECTIVES: Patient-reported outcome measures have been found to be an effective method of reflecting client perspectives on their personal health condition. The primary aim of this study was to determine the reliability and validity of the self-reported Activities of Daily Living Scale (sf-ADLS) using Rasch analysis in Taiwan.
METHODS
A total of 455 people were included in this study; 224 were persons with mental illness and 231 were healthy adults. We applied Rasch analysis as the means of testing the psychometrics of the scale.
RESULTS
The final version of the sf-ADLS used in this study included 14 items, with no differential item functioning being discernible on the gender variable. The scale was found to be of use in classifying the subjects into four levels of independence.
CONCLUSIONS
The revised sf-ADLS conforms to the Rasch measurement model in the formulation of a unidimensional scale. The scale can be used to measure the level of independence with acceptable reliability (internal consistency as 0.9) and validity.
背景/目的：患者报告的结局指标已被证明是反映患者对自身健康状况看法的有效方法。本研究的主要目的是在台湾使用拉施分析确定自我报告的日常生活活动量表（sf-ADLS）的信度和效度。
方法
本研究共纳入455人；其中224人为精神疾病患者，231人为健康成年人。我们应用拉施分析来检验该量表的心理测量学特性。
结果
本研究中使用的sf-ADLS最终版本包括14个项目，在性别变量上未发现项目功能差异。该量表可用于将受试者分为四个独立水平。
结论
修订后的sf-ADLS在制定单维量表时符合拉施测量模型。该量表可用于测量独立水平，具有可接受的信度（内部一致性为0.9）和效度。
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