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测量痴呆症患者照顾者的希望和适应力:照顾者积极心理结局测量表(PPOM-C)。

Measuring hope and resilience in carers of people living with dementia: The positive psychology outcome measure for carers (PPOM-C).

机构信息

Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Centre for Chronic Illness and Ageing, Institute of Lifecourse Development, School of Human Sciences, University of Greenwich, London, UK.

出版信息

Dementia (London). 2023 Jul;22(5):978-994. doi: 10.1177/14713012231165113. Epub 2023 Mar 18.

DOI:10.1177/14713012231165113
PMID:36932945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10262335/
Abstract

OBJECTIVES

Positive psychology outcome measures aim to quantitatively document the character strengths that people use to maintain their wellbeing. Positive aspects of caregiving including the use of character strengths is gaining credence in dementia carer literature but there remain few psychometrically robust tools by which to capture this. The current study evaluated the psychometric properties of a newly developed measure of hope and resilience for family carers of people living with dementia.

METHODS

An online study where family carers (n = 267) completed the newly adapted Positive Psychology Outcome Measure - Carer version (PPOM-C), the Hospital Anxiety and Depression Scale - Depression subscale (HADS-D), The Short Form Health Survey (SF-12), and The Multidimensional Scale of Perceived Social Support (MSPSS).

RESULTS

Psychometric analysis indicated strong properties for the PPOM-C in family carers, with two items dropped to improve the internal consistency. Convergent validity was established, with strong correlations between the hope, resilience, depression symptomology, quality of life and social support. A Confirmatory Factor Analysis indicated acceptable model fit.

DISCUSSION

The PPOM-C is a psychometrically robust tool that can be recommended for use in large scale psychosocial research. The use of this measure in research and practice will provide a more nuanced understanding of the caregiving role and how to support wellbeing in this population.

摘要

目的

积极心理学的结果测量旨在定量记录人们用来维持幸福感的性格优势。在痴呆症护理文献中,照顾者积极的方面,包括使用性格优势,越来越受到认可,但仍缺乏可靠的心理测量工具来捕捉这一点。本研究评估了一种新开发的针对痴呆症患者家庭照顾者的希望和适应力测量工具的心理测量特性。

方法

一项在线研究,其中家庭照顾者(n=267)完成了新改编的积极心理学结果测量-照顾者版(PPOM-C)、医院焦虑和抑郁量表-抑郁分量表(HADS-D)、简短健康调查(SF-12)和多维感知社会支持量表(MSPSS)。

结果

心理测量分析表明,PPOM-C 在家庭照顾者中具有很强的特性,有两个项目被删除以提高内部一致性。同时建立了收敛有效性,希望、适应力、抑郁症状、生活质量和社会支持之间存在很强的相关性。验证性因素分析表明模型拟合度可接受。

讨论

PPOM-C 是一种心理测量上可靠的工具,可推荐用于大规模心理社会研究。在研究和实践中使用这种测量工具将提供对照顾角色的更细致理解,以及如何支持这一人群的幸福感。

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Health Qual Life Outcomes. 2020 Jul 24;18(1):249. doi: 10.1186/s12955-020-01440-x.
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Promoting Independence in Dementia (PRIDE): protocol for a feasibility randomised controlled trial.促进痴呆症患者的独立性(PRIDE):一项可行性随机对照试验方案
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Reconsidering frameworks of Alzheimer's dementia when assessing psychosocial outcomes.在评估心理社会结果时重新审视阿尔茨海默病性痴呆的框架。
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Indian J Palliat Care. 2019 Apr-Jun;25(2):210-217. doi: 10.4103/IJPC.IJPC_171_18.
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Web-Based Intervention for Family Carers of Persons with Dementia and Multiple Chronic Conditions (My Tools 4 Care): Pragmatic Randomized Controlled Trial.针对患有痴呆症和多种慢性病患者的家庭照顾者的基于网络的干预措施(我的护理工具4):实用随机对照试验
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The Positive Psychology Outcome Measure (PPOM) for people with dementia: Psychometric properties and factor structure.痴呆症患者的积极心理结局测量(PPOM):心理测量特性和因子结构。
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Effectiveness of Interventions for Caregivers of People With Alzheimer's Disease and Related Major Neurocognitive Disorders: A Systematic Review.阿尔茨海默病及相关主要神经认知障碍患者照料者干预措施的有效性:一项系统评价。
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