Øygarden Anne-Martha Utne, Grov Ellen Karine, Rokstad Anne Marie Mork, Brady Orla, Engedal Knut, Strøm Benedicte Sørensen
Oslo Metropolitan University, St. Olavs plass, 0130 Oslo, Norway.
Norwegian National Centre of Ageing and Health, Vestfold Hospital Trust.
Int J Nurs Stud Adv. 2025 Aug 6;9:100405. doi: 10.1016/j.ijnsa.2025.100405. eCollection 2025 Dec.
The study aimed to investigate the psychometric properties of the Norwegian version of the Threadgold Communication Tool, a proxy-rated instrument assessing communication abilities in people with dementia.
The study employed a prospective design, with two measurement points within 10 days. The Threadgold Communication Tool was translated into Norwegian following the World Health Organization's protocol for translation and back-translation.
The study included 126 residents from ten different nursing homes and one assisted living facility in Norway. The participants consisted of 99 women (78.57 %) and 27 men (21.43 %), aged between 61 and 100 years, with a mean age of 85.67 (SD 7.59).
The outcome measures were the internal consistency, test-retest reliability, and construct validity of the Threadgold Communication Tool.
The Norwegian version of the Threadgold Communication Tool demonstrated satisfactory psychometric properties, with a high level of internal consistency (Cronbach's α coefficient = 0.95) and robust test-retest reliability ( = 0.8, < 0.001). Principal Component Analysis revealed a two-component structure, explaining 62.9 % of the variance. However, the item 'vocalization' scored lower than other items and was identified as difficult to interpret by the Sonas Licensed Practitioners.
The Norwegian version of the Threadgold Communication Tool is a reliable and valid tool for assessing communication abilities in people with dementia. However, further research is needed to refine the instrument based on these findings, particularly regarding the interpretation of the 'vocalization' item.
本研究旨在调查挪威版Threadgold沟通工具的心理测量特性，这是一种用于评估痴呆症患者沟通能力的代理评定工具。
本研究采用前瞻性设计，在10天内设置两个测量点。按照世界卫生组织的翻译和回译方案，将Threadgold沟通工具翻译成挪威语。
该研究纳入了挪威10家不同养老院和1家辅助生活设施中的126名居民。参与者包括99名女性（78.57%）和27名男性（21.43%），年龄在61岁至100岁之间，平均年龄为85.67岁（标准差7.59）。
结果测量指标为Threadgold沟通工具的内部一致性、重测信度和结构效度。
挪威版Threadgold沟通工具表现出令人满意的心理测量特性，具有较高的内部一致性（克朗巴哈α系数 = 0.95）和较强的重测信度（ = 0.8， < 0.001）。主成分分析揭示了一个双成分结构，解释了62.9%的方差。然而，“发声”这一项目的得分低于其他项目，并且被索纳斯执业人员认为难以解释。
挪威版Threadgold沟通工具是评估痴呆症患者沟通能力的可靠且有效的工具。然而，需要基于这些发现进一步开展研究以完善该工具，特别是关于“发声”项目的解释。
