住院老年患者患者受益评估量表的适应：P-BAS 图片版的开发、信度和效度。
Adaptation of the Patient Benefit Assessment Scale for Hospitalised Older Patients: development, reliability and validity of the P-BAS picture version.
机构信息
University of Groningen, University Medical Center Groningen, University Center for Geriatric Medicine, Hanzeplein 1, Groningen, 9700 RB, The Netherlands.
Department of Health Sciences, Applied Health Research, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
出版信息
BMC Geriatr. 2022 Jan 11;22(1):43. doi: 10.1186/s12877-021-02708-7.
BACKGROUND
The Patient Benefit Assessment Scale for Hospitalised Older Patients (P-BAS HOP) is a tool developed to both identify the priorities of the individual patient and to measure the outcomes relevant to him/her, resulting in a Patient Benefit Index (PBI), indicating how much benefit the patient had experienced from the hospitalisation. The reliability and the validity of the P-BAS HOP appeared to be not yet satisfactory and therefore the aims of this study were to adapt the P-BAS HOP and transform it into a picture version, resulting in the P-BAS-P, and to evaluate its feasibility, reliability, validity, responsiveness and interpretability.
METHODS
Process of instrument development and evaluation performed among hospitalised older patients including pilot tests using Three-Step Test-Interviews (TSTI), test-retest reliability on baseline and follow-up, comparing the PBI with Intraclass Correlation Coefficient (ICC), and hypothesis testing to evaluate the construct validity. Responsiveness of individual P-BAS-P scores and the PBI with two different weighing schemes were evaluated using anchor questions. Interpretability of the PBI was evaluated with the visual anchor-based minimal important change (MIC) distribution method and computation of smallest detectable change (SDC) based on ICC.
RESULTS
Fourteen hospitalised older patients participated in TSTIs at baseline and 13 at follow-up after discharge. After several adaptations, the P-BAS-P appeared feasible with good interviewer's instructions. The pictures were considered relevant and helpful by the participants. Reliability was tested with 41 participants at baseline and 50 at follow-up. ICC between PBI and PBI of baseline test and retest was 0.76, respectively 0.73. At follow-up 0.86, respectively 0.85. For the construct validity, tested in 169 participants, hypotheses regarding importance of goals were confirmed. Regarding status of goals, only the follow-up status was confirmed, baseline and change were not. The responsiveness of the individual scores and PBI were weak, resulting in poor interpretability with many misclassifications. The SDC was larger than the MIC.
CONCLUSIONS
The P-BAS-P appeared to be a feasible instrument, but there were methodological barriers for the evaluation of the reliability, validity, and responsiveness. We therefore recommend further research into the P-BAS-P.
背景
住院老年患者患者受益评估量表（P-BAS HOP）是一种用于确定患者个体优先事项和衡量与其相关的结果的工具，从而产生患者受益指数（PBI），表明患者从住院治疗中获得了多少受益。P-BAS HOP 的可靠性和有效性似乎还不够令人满意，因此本研究的目的是改编 P-BAS HOP 并将其转化为图片版本，即 P-BAS-P，并评估其可行性、可靠性、有效性、反应性和可解释性。
方法
在住院老年患者中进行了仪器开发和评估的过程，包括使用三步测试访谈（TSTI）进行试点测试，在基线和随访时进行测试-重测可靠性，用组内相关系数（ICC）比较 PBI，以及进行假设检验以评估结构有效性。使用锚定问题评估个体 P-BAS-P 评分和两种不同加权方案的 PBI 的反应性。使用基于视觉锚定的最小重要变化（MIC）分布方法和基于 ICC 的最小可检测变化（SDC）计算来评估 PBI 的可解释性。
结果
14 名住院老年患者在基线时参加了 TSTI，13 名在出院后随访时参加了 TSTI。经过多次改编，P-BAS-P 似乎具有良好的可操作性，访谈者的指导也很好。参与者认为图片是相关和有帮助的。对 41 名基线参与者和 50 名随访参与者进行了可靠性测试。PBI 与基线测试和重测的 PBI 之间的 ICC 分别为 0.76 和 0.73。在随访中，ICC 分别为 0.86 和 0.85。对于结构有效性，在 169 名参与者中进行了测试，关于目标重要性的假设得到了证实。关于目标状态，只有随访状态得到了证实，基线和变化状态没有得到证实。个体评分和 PBI 的反应性较弱，导致可解释性差，分类错误较多。SDC 大于 MIC。
结论
P-BAS-P 似乎是一种可行的工具，但在评估可靠性、有效性和反应性方面存在方法学障碍。因此，我们建议对 P-BAS-P 进行进一步研究。
Zotero 插件