Department of Medical Sociology.
Department of Epidemiology, Chair of Epidemiology and Preventive Medicine.
Gerontologist. 2020 Apr 2;60(3):e117-e126. doi: 10.1093/geront/gnz014.
The purpose of the study was to create and validate a tool that could be implemented easily to recognize the presence and assess the level of neglect in community-dwelling older adults, and to provide information about the prevalence of the phenomenon in different subgroups of older adults in Poland.
The cross-sectional study of elder neglect and self-neglect was conducted in Lesser Poland in 2017. It included 2,443 face-to-face interviews with randomly selected community-dwelling individuals from among the general population (1,635), social service users (280), and hospital patients (528). Classical Test Theory and Item Response Theory (IRT) were used to build the scale, and its content and construct validity and reliability were assessed.
The Self-Reported Neglect Scale (SRNS) with a 2-factor structure (basic needs and psychological needs dimensions) was created. Results of the IRT analysis showed high item discrimination (2.7-4.8 for the first factor, 0.8-3.2 for the second). The 1-year prevalence of neglect as a percentage of nonzero values of the SRNS was estimated at 11.4%.
The SRNS exhibited good psychometric properties. It may have promise as a tool for the assessment of neglect in epidemiological studies as well in the everyday practice of medical professionals and social workers.
本研究旨在创建并验证一种工具，以便于识别和评估社区居住的老年人中忽视的存在和程度，并提供有关忽视现象在波兰不同老年人群体中发生率的信息。
2017 年在小波兰省进行了一项关于老年人忽视和自我忽视的横断面研究。它包括对随机选择的社区居民（1635 人）、社会服务使用者（280 人）和医院患者（528 人）进行了 2443 次面对面访谈。经典测试理论和项目反应理论（IRT）被用于构建量表，并评估其内容、结构效度和信度。
创建了具有 2 个因子结构（基本需求和心理需求维度）的自我报告忽视量表（SRNS）。IRT 分析的结果显示，项目区分度较高（第一个因子为 2.7-4.8，第二个因子为 0.8-3.2）。SRNS 非零值的 1 年忽视发生率估计为 11.4%。
SRNS 表现出良好的心理测量特性。它可能有望成为评估流行病学研究中忽视的工具，也有望成为医疗专业人员和社会工作者日常实践中的工具。
