Komalasari Renata, Mpofu Elias, Chang Hui-Chen Rita, Eka Ni Gusti Ayu, Traynor Victoria
Department of Rehabilitation and Health Services, University of North Texas, 1155 Union Circle #311456, 76203, Denton, TX, USA.
School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
J Cross Cult Gerontol. 2023 Mar;38(1):83-95. doi: 10.1007/s10823-023-09472-8. Epub 2023 Feb 16.
The South-East Asia region has one of the fastest-growing aging populations, for which standardized dementia screening measures will be essential for geriatric care. The Rowland Universal Dementia Assessment Scale (RUDAS) is adopted for use in the Indonesian setting but lacks evidence of its cross-cultural transportability. This study aimed to examine the reliability and validity of scores from the Rowland Universal Dementia Assessment Scale (RUDAS) in the Indonesian setting. Indonesian older adults from a geriatric nursing center (N = 135; 52 males, 83 females; age range 60-82) completed the Indonesian translation of the RUDAS (RUDAS-Ina), following content adaptation study with community living older adults (N = 35), nine neurologists and two geriatric nurses. For face and content validity, we utilized a consensus-building procedure. Results following confirmatory factor analysis yielded a single-factor model. The reliability of scores from the RUDAS-Ina was marginally satisfactory for research purposes (Cronbach α = 0.61). Multi-level linear regression for examining the association of the RUDAS-Ina scores with gender and age indicated older age to be associated with lower RUDAS-Ina scores. In contrast, the association with gender was not significant. Findings suggest a need to develop and validate locally generated items with cultural sensitivity to the Indonesian setting, which may also be studied in other Southeast Asian countries.
东南亚地区是老龄化人口增长最快的地区之一，对于老年护理而言，标准化的痴呆筛查措施至关重要。罗兰通用痴呆评估量表（RUDAS）已在印度尼西亚使用，但缺乏其跨文化可移植性的证据。本研究旨在检验罗兰通用痴呆评估量表（RUDAS）在印度尼西亚环境中的分数的可靠性和有效性。来自一家老年护理中心的印度尼西亚老年人（N = 135；男性52名，女性83名；年龄范围60 - 82岁）在与社区居住的老年人（N = 35）、9名神经科医生和2名老年护士进行内容适应性研究后，完成了RUDAS的印度尼西亚语翻译版（RUDAS-Ina）。为了进行表面效度和内容效度评估，我们采用了建立共识的程序。验证性因素分析结果产生了一个单因素模型。RUDAS-Ina分数的可靠性对于研究目的而言勉强令人满意（克朗巴哈α系数 = 0.61）。用于检验RUDAS-Ina分数与性别和年龄之间关联的多水平线性回归表明，年龄较大与较低的RUDAS-Ina分数相关。相比之下，与性别的关联不显著。研究结果表明，有必要开发并验证对印度尼西亚环境具有文化敏感性的本地生成项目，这些项目也可在其他东南亚国家进行研究。
