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一种用于收集伴侣犬死亡数据的新型工具的开发与验证:犬类衰老项目临终调查

Development and Validation of a Novel Instrument to Capture Companion Dog Mortality Data: The Dog Aging Project End of Life Survey.

作者信息

McNulty Kellyn E, Creevy Kate E, Fitzpatrick Annette, Wilkins Vanessa, Barnett Brian G, Ruple Audrey

机构信息

Texas A&M University College of Veterinary Medicine & Biomedical Sciences, Department of Small Animal Clinical Sciences (College Station, TX).

University of Washington, Schools of Medicine and Public Health, Departments of Family Medicine and Epidemiology (Seattle, WA).

出版信息

bioRxiv. 2023 Apr 2:2023.04.01.535178. doi: 10.1101/2023.04.01.535178.

Abstract

OBJECTIVE

The researchers and clinicians within the Dog Aging Project (DAP), a longitudinal cohort study of aging in companion dogs, created and validated a novel survey instrument titled the End of Life Survey (EOLS) to gather owner-reported mortality data about companion dogs.

SAMPLE

Bereaved dog owners who participated in the refinement, face validity assessment, or reliability assessment of the EOLS (n=42) and/or completed the entire survey between January 20 and March 24, 2021 (n=646).

PROCEDURES

The EOLS was created and modified by veterinary health professionals and human gerontology experts using published literature, clinical veterinary experience, previously created DAP surveys, and feedback from a pilot study conducted with bereaved dog owners. The EOLS was subjected to qualitative validation methods and post-hoc free-text analysis to evaluate its ability to thoroughly capture scientifically relevant aspects of companion dogs' death.

RESULTS

The EOLS was well-received with excellent face validity as assessed by dog owners and experts. The EOLS had fair to substantial reliability for the three validation themes: cause of death (kappa = 0.73; 95% CI [0.5-0.95]), perimortem quality of life (kappa = 0.49; 95% CI [0.26-0.73]), and reason for euthanasia (kappa = 0.3; 95% CI [0.08-0.52]) and had no need for any substantial content alterations based on free-text analysis.

CLINICAL RELEVANCE

The EOLS has proven to be a well-accepted, comprehensive, and valid instrument for capturing owner-reported companion dog mortality data and has the potential to enhance veterinarians' ability to care for the aging dog population by illuminating their understanding of companion dogs' end-of-life experiences.

摘要

目的

犬类衰老项目(DAP)是一项针对宠物犬衰老的纵向队列研究,该项目的研究人员和临床医生创建并验证了一种名为临终调查(EOLS)的新型调查工具,以收集宠物犬主人报告的死亡数据。

样本

参与EOLS完善、表面效度评估或信度评估的丧犬主人(n = 42)和/或在2021年1月20日至3月24日期间完成整个调查的丧犬主人(n = 646)。

程序

EOLS由兽医健康专业人员和人类老年学专家根据已发表的文献、临床兽医经验、之前创建的DAP调查以及与丧犬主人进行的试点研究的反馈创建和修改。EOLS采用定性验证方法和事后自由文本分析,以评估其全面捕捉宠物犬死亡科学相关方面的能力。

结果

EOLS受到好评,犬主人和专家评估其表面效度极佳。EOLS在三个验证主题上具有中等至较高的信度:死亡原因(kappa = 0.73;95%CI[0.5 - 0.95])、临终生活质量(kappa = 0.49;95%CI[0.26 - 0.73])和安乐死原因(kappa = 0.3;95%CI[0.08 - 0.52]),并且根据自由文本分析无需进行任何重大内容修改。

临床意义

EOLS已被证明是一种被广泛接受、全面且有效的工具,用于捕捉主人报告的宠物犬死亡数据,并且有可能通过加深兽医对宠物犬临终经历的理解来提高他们照顾老龄犬群体的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32ce/10081320/f69e3c52bdfd/nihpp-2023.04.01.535178v1-f0001.jpg

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