Res Gerontol Nurs. 2020 Jan 1;13(1):13-20. doi: 10.3928/19404921-20191022-01. Epub 2019 Nov 6.
Participation in leisure activities may be cognitively protective for older adults. However, there is no comprehensive scoring system for analyzing data related to the effectiveness of leisure activity engagement on cognitive decline risk. The authors developed a component scoring system to determine the typical amount of cognitive, physical, and social effort required for participation in common leisure activities. Fifty-nine leisure activities were scored on the three activity effort components in two rounds of expert panel review using a modified Delphi technique. Consensus on the component scores was esta blished. Interrater reliability (IRR) was acceptable across all three components (0.72). IRR was adequate for the cognitive component (0.75) and excellent for the physical (0.94) and social (0.95) components. Component scores can be used to examine how the level of cognitive, physical, or social effort required for engagement in specific leisure activities is associated with risk for cognitive decline and other poor outcomes. [Research in Gerontological Nursing, 13(1), 13-20.].
参与休闲活动可能对老年人的认知有益。然而，目前还没有综合的评分系统来分析与休闲活动参与度降低认知风险相关的数据。作者开发了一个组成部分评分系统，以确定参与常见休闲活动所需的典型认知、身体和社交努力程度。59 项休闲活动在两轮专家小组审查中根据三个活动努力组成部分进行评分，使用改良德尔菲技术。确立了对组成部分评分的共识。所有三个组成部分的评分者间信度（IRR）均可以接受（0.72）。认知组成部分的 IRR 足够（0.75），身体（0.94）和社会（0.95）组成部分的 IRR 优秀。组成部分的分数可用于检查参与特定休闲活动所需的认知、身体或社交努力程度与认知能力下降和其他不良结果的风险之间的关联。[老年护理研究，13（1），13-20。]。
