Resnick Barbara, Kolanowski Ann, Van Haitsma Kimberly, Galik Elizabeth, Boltz Marie, Zhu Shijun, Ellis Jeanette, Behrens Liza, Eshraghi Karen, Viviano Nicole, Jao Ying-Ling
University of Maryland School of Nursing, 655 West Lombard Street, Baltimore MD 21218.
Pennsylvania State University.
J Aging Environ. 2020;34(3):310-331. Epub 2020 Jan 28.
The purpose of this study was to test the reliability and validity of the Assessment of the Environment for Person-Centered Management of BPSD and the Assessment of Policies for Person-Centered Management of BPSD. The sample included 35 long term care facilities. There was evidence of reliability based on internal consistency and test-retest reliability of both measures. There was some evidence of validity based on Rasch model testing and INFIT and OUTFIT statistics. Across both measures there were six items with that were endorsed as present by all facilities. The INFIT and OUTFIT statistics were all within the expected range of .5 to 1.5 with the exception of four high OUTFIT statistics for the Assessment of the Environment for Person-Centered Management of BPSD. For the Assessment of Policies for Person-Centered Management of BPSD there were two items that had high INFIT statistics and six with low OUTFIT statistics and one with high OUTFIT statistics. Measure revisions are suggested including removal of some poor fitting items, items with no variance, and adding items to differentiate those very high in evidence of environments and policies that manage BPSD.
本研究的目的是检验《以患者为中心的BPSD管理环境评估》及《以患者为中心的BPSD管理政策评估》的信度和效度。样本包括35家长期护理机构。基于两种测量方法的内部一致性和重测信度,有信度的证据。基于拉施模型测试以及拟合优度和不拟合优度统计,有一些效度的证据。在这两种测量方法中,有六个项目被所有机构认可为存在。除了《以患者为中心的BPSD管理环境评估》中有四个高不拟合优度统计数据外,拟合优度和不拟合优度统计数据均在0.5至1.5的预期范围内。对于《以患者为中心的BPSD管理政策评估》,有两个项目具有高拟合优度统计数据,六个项目具有低不拟合优度统计数据,一个项目具有高不拟合优度统计数据。建议对测量方法进行修订,包括删除一些拟合不佳的项目、无方差的项目,并增加项目以区分那些在管理BPSD的环境和政策方面证据非常充分的项目。