Reuben D B, Lee M, Davis J W, Eslami M S, Osterweil D G, Melchiore S, Weintraub N T
Multicampus Program in Geriatric Medicine and Gerontology, UCLA School of Medicine, Los Angeles, CA, USA.
J Am Geriatr Soc. 1998 Nov;46(11):1425-30. doi: 10.1111/j.1532-5415.1998.tb06012.x.
To develop and validate an instrument measuring attitudes toward older persons and caring for older patients.
Cross-sectional and longitudinal studies.
An academic medical center.
Initial Study: 121 primary care residents (n = 96), fellows (n = 14), and faculty (n = 11) participated in instrument development in 1995. Longitudinal Study: 95 residents (n = 87) and fellows (n = 8) of the initial cohort participated in the 1996 follow-up study, and 61 of the initial cohort (57 residents and 4 fellows) participated in the 1997 follow-up study. Cross Validation Study: 96 first-year residents (n = 78) and fellows (n = 18) participated in this study.
A 14-item geriatrics attitudes scale was developed. The items were selected from a pool of 37 items administered to the 121 participants in the initial study.
The instrument demonstrated high reliability (Cronbach's alpha = .76) and known-groups and construct validity. Attitudes were progressively more positive with more medical training (P < .001), and residents with greater career interest in geriatrics scored higher than those less interested (P = .007). Cross validation results supported the reliability and validity of the instrument. Longitudinal data showed significantly different trends of attitude changes among groups of residents and fellows over a 2-year period.
The 14-item geriatrics attitudes scale developed in this study shows sound reliability, validity, and sensitivity to change among primary care residents. The performance of other groups of medical trainees and the relationship of attitude changes to specific medical training warrant further investigation.
开发并验证一种测量对老年人态度及照顾老年患者态度的工具。
横断面研究和纵向研究。
一所学术性医学中心。
初始研究：1995年，121名初级保健住院医师（n = 96）、研究员（n = 14）和教员（n = 11）参与了工具开发。纵向研究：初始队列中的95名住院医师（n = 87）和研究员（n = 8）参与了1996年的随访研究，初始队列中的61人（57名住院医师和4名研究员）参与了1997年的随访研究。交叉验证研究：96名一年级住院医师（n = 78）和研究员（n = 18）参与了本研究。
开发了一个包含14个条目的老年医学态度量表。这些条目是从初始研究中向121名参与者施测的37个条目中选取的。
该工具显示出高信度（克朗巴哈系数α = 0.76）以及已知群体效度和结构效度。随着医学培训增多，态度逐渐更积极（P < 0.001），对老年医学职业兴趣更大的住院医师得分高于兴趣较小的住院医师（P = 0.007）。交叉验证结果支持了该工具的信度和效度。纵向数据显示，住院医师和研究员群体在两年期间的态度变化趋势存在显著差异。
本研究开发的14条目老年医学态度量表在初级保健住院医师中显示出良好的信度、效度和对变化的敏感性。其他医学实习生群体的表现以及态度变化与特定医学培训的关系值得进一步研究。
