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照顾者支持需求评估工具(CSNAT)的表面效度和内容效度,以及 CSNAT 干预措施对于慢性阻塞性肺疾病患者照顾者的可行性。

Face and content validity of the Carer Support Needs Assessment Tool (CSNAT), and feasibility of the CSNAT intervention, for carers of patients with chronic obstructive pulmonary disease.

机构信息

School of Health Sciences, University of East Anglia, Norwich Research Park, Norwich, UK.

出版信息

Chronic Illn. 2022 Sep;18(3):532-548. doi: 10.1177/1742395321999433. Epub 2021 Mar 24.

Abstract

OBJECTIVES

Informal carers of patients with Chronic Obstructive Pulmonary Disease (COPD) have unmet support needs. Evidence relating to carers' support needs in chronic conditions informed version 3 of the Carer Support Needs Assessment Tool (CSNAT) which forms part of an intervention to identify and address carer support needs. Aim of study: to establish the face and content validity of CSNAT v3 for use with COPD carers and explore their views on delivery of the CSNAT Intervention in practice.

METHODS

Focus groups conducted September-October 2019 in non-clinical settings recruited eleven COPD carers (two to six participants per group). COPD patients ( = 2) attended one group to facilitate carer attendance, the impact of which is discussed. Most participating carers were female ( = 10); carers' ages ranged 52-79 years.

RESULTS

CSNAT v3 was easy to understand and complete, and all 15 domains were considered relevant and appropriate, suggesting good face and content validity. The demeanour, relational skills, and knowledge of the CSNAT facilitator appeared more important to carers than being a certain practitioner type.

DISCUSSION

COPD carers considered the CSNAT Intervention an acceptable way of identifying and responding to their needs. The intervention could potentially be delivered through a range of services.

摘要

目的

慢性阻塞性肺疾病(COPD)患者的非正式照顾者有未满足的支持需求。与慢性病照顾者支持需求相关的证据为照顾者支持需求评估工具(CSNAT)的第 3 版提供了信息,该工具是确定和满足照顾者支持需求的干预措施的一部分。研究目的:确定 CSNAT v3 在 COPD 照顾者中的表面效度和内容效度,并探讨他们对 CSNAT 干预措施在实践中的实施的看法。

方法

2019 年 9 月至 10 月,在非临床环境中进行了焦点小组,共招募了 11 名 COPD 照顾者(每组 2 至 6 名参与者)。2 名 COPD 患者参加了其中一个小组,以促进照顾者的参与,对此的影响进行了讨论。大多数参与的照顾者为女性(n=10);照顾者的年龄在 52-79 岁之间。

结果

CSNAT v3 易于理解和完成,所有 15 个领域都被认为具有相关性和适当性,表明具有良好的表面效度和内容效度。CSNAT 协调员的举止、人际关系技巧和知识似乎对照顾者来说比作为特定从业者类型更为重要。

讨论

COPD 照顾者认为 CSNAT 干预措施是一种可以识别和满足他们需求的可接受方式。该干预措施可以通过多种服务提供。

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