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痴呆症是固定的还是可改变的:痴呆症思维模式量表的编制与验证

Dementia as Fixed or Malleable: Development and Validation of the Dementia Mindset Scale.

作者信息

Kunz Lena K, Scheibe Susanne, Wisse Barbara, Boerner Kathrin, Zemlin Claudia

机构信息

Department of Psychology, University of Groningen, The Netherlands.

Department of Management and Marketing, Durham University, UK.

出版信息

Innov Aging. 2020 Jun 24;4(4):igaa023. doi: 10.1093/geroni/igaa023. eCollection 2020.

DOI:10.1093/geroni/igaa023
PMID:32968698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7494239/
Abstract

BACKGROUND AND OBJECTIVES

Care professionals differ in how they experience and respond to dementia caregiving. To explain such differences, we developed a new measure: the Dementia Mindset Scale. This scale captures the extent to which care professionals view dementia as stable and fixed (akin to the biomedical perspective) or as flexible and malleable (akin to the person-centered approach).

RESEARCH DESIGN AND METHODS

We conducted four studies to develop the scale. We tested items for comprehensibility, assessed the scale's factorial structure and psychometric properties, and investigated its predictive validity for care professionals' well-being.

RESULTS

A new scale with a two-factor structure-distinguishing a malleable dementia mindset from a fixed dementia mindset-was developed. Results showed good convergent and divergent validity. Moreover, the dementia mindsets predicted aspects of job-related well-being in care professionals.

DISCUSSION AND IMPLICATIONS

The scale allows for the assessment of individual differences in how care professionals see dementia. This insight can be used to improve interventions aimed at enhancing care professionals' well-being and quality of care.

摘要

背景与目的

护理专业人员在如何体验和应对痴呆症护理方面存在差异。为了解释这些差异,我们开发了一种新的测量工具:痴呆症思维模式量表。该量表反映了护理专业人员将痴呆症视为稳定不变(类似于生物医学观点)还是灵活可变(类似于以人为本的方法)的程度。

研究设计与方法

我们进行了四项研究来开发该量表。我们测试了条目的可理解性,评估了量表的因子结构和心理测量特性,并研究了其对护理专业人员幸福感的预测效度。

结果

开发出了一种具有双因子结构的新量表,该结构区分了可变的痴呆症思维模式和固定的痴呆症思维模式。结果显示出良好的聚合效度和区分效度。此外,痴呆症思维模式预测了护理专业人员与工作相关的幸福感的各个方面。

讨论与启示

该量表能够评估护理专业人员看待痴呆症方式上的个体差异。这一见解可用于改进旨在提高护理专业人员幸福感和护理质量的干预措施。

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引用本文的文献

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2
From dementia mindsets to emotions and behaviors: Predicting person-centered care in care professionals.从痴呆症思维模式到情感与行为:预测护理专业人员以患者为中心的护理
Dementia (London). 2022 Jul;21(5):1618-1635. doi: 10.1177/14713012221083392. Epub 2022 May 5.

本文引用的文献

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Do Mindsets Shape Students' Well-Being and Performance?心态是否塑造了学生的幸福感和表现?
J Psychol. 2019;153(8):843-859. doi: 10.1080/00223980.2019.1631141. Epub 2019 Jul 17.
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The Fixed Mindset of Anxiety Predicts Future Distress: A Longitudinal Study.焦虑的固定思维模式预示着未来的困扰:一项纵向研究。
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Could the Adoption of Unleaded Gasoline in the 1970s Play a Role in the Precipitous Decline in Dementia Prevalence?-Reply.20世纪70年代无铅汽油的采用会在痴呆症患病率急剧下降中起作用吗?-回复
JAMA Intern Med. 2017 Jun 1;177(6):893. doi: 10.1001/jamainternmed.2017.1083.
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Caregiver Perspectives About Using Antipsychotics and Other Medications for Symptoms of Dementia.照顾者对使用抗精神病药和其他药物治疗痴呆症状的看法。
Gerontologist. 2018 Mar 19;58(2):e35-e45. doi: 10.1093/geront/gnx042.
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The Influence of the Physical Environment on Residents With Dementia in Long-Term Care Settings: A Review of the Empirical Literature.物理环境对长期护理环境中痴呆症居民的影响:实证文献综述。
Gerontologist. 2018 Sep 14;58(5):e325-e337. doi: 10.1093/geront/gnw259.
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Using Design Thinking to Improve Psychological Interventions: The Case of the Growth Mindset During the Transition to High School.运用设计思维改进心理干预:以初中向高中过渡阶段的成长型思维模式为例。
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