NKS Olaviken Gerontopsychiatric Hospital, Askøy, Norway.
Department of Clinical Psychology, University of Bergen, Bergen, Norway.
Am J Alzheimers Dis Other Demen. 2023 Jan-Dec;38:15333175231171990. doi: 10.1177/15333175231171990.
The Observable Well-being in Living with Dementia-Scale was developed to address conceptual and methodological issues in current observational scales for music therapy. Creative interventions may receive lowered scores, as existing instruments rely heavily on verbal behavior. Methods were (1) Systematic review of observational instruments: (2) field work with music therapy and sociable interactions to operationalize the items; (3) field testing assessing feasibility and preliminary psychometric properties; (4) focus groups with experts to investigate content validity; (5) final field test and revision. 2199 OWLS-ratings were conducted in 11 participants. Hypotheses of construct validity and responsiveness were supported (r = .33 -.65). Inter-rater reliability was good (84% agreement between coders, Cohen's Kappa = .82), and intra-rater reliability was excellent (98% agreement, Cohen's Kappa = .98). Focus groups with 8 experts supported the relevance of the items and suggested further refinements to increase comprehensiveness. The final field-tested OWLS showed improved inter-rater reliability and usability.
《观察性认知障碍症生活质量量表》的制定旨在解决当前音乐治疗观察性量表在概念和方法学上的问题。由于现有工具严重依赖言语行为，创意干预可能会得到较低的分数。方法包括：（1）对观察性工具进行系统回顾；（2）与音乐治疗和社交互动一起开展实地工作，使项目具体化；（3）进行现场测试，评估可行性和初步心理测量特性；（4）通过焦点小组调查专家的内容效度；（5）最终的现场测试和修订。11 名参与者进行了 2199 次 OWLS 评分。结构有效性和反应性的假设得到了支持（r =.33 -.65）。评分者间信度良好（评分者间 84%的一致性，Cohen 的 Kappa =.82），评分者内信度极佳（98%的一致性，Cohen 的 Kappa =.98）。8 位专家的焦点小组支持项目的相关性，并建议进一步改进以提高全面性。经过最终现场测试的 OWLS 显示出了更好的评分者间信度和可用性。
