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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Acceptability and Face Validity of a Geriatric Self-Medication Assessment Tool
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Acceptability and Face Validity of a Geriatric Self-Medication Assessment Tool

机译：老年自我用药评估工具的可接受性和面部有效性

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Background: A majority of community-dwelling older adults manage their own medication regimens. This study describes the development and first phase of testing of the Self-Medication Assessment Tool (SMAT), designed to screen for cognitive and functional deficits in relation to medication self-management among community-dwelling geriatric patients.Objective: To evaluate the face validity of the SMAT and to determine its acceptability among pharmacists.Methods: An instrument was designed, widi 5 assessment scales to measure function, cognition, medication recall, and 2 aspects of adherence. The instrument included a standardized test kit and instructions for testers. Focus groups interviews, individual interviews, and surveys were used to determine the reactions of community and hospital-based pharmacists to the tool. Transcripts of the focus group and individual interviews were coded for main themes. Pharmacists' ratings of usefulness, thoroughness, and ease of use, as well as their willingness to use the instrument, were compared with a neutral rating on a 7-point scale by means of 1-sample t tests.Results: Focus group interviews or individual interviews were conducted with 17 pharmacists and 3 pharmacy students (out of a potential population of about 300) who responded to an invitation to participate. The pharmacists felt that the tool would be useful in identifying difficulties with medication management and potential interventions, and they expressed a willingness to use it in their respective practices. Pharmacists working in hospital settings were slightly more willing than community pharmacists to use the tool. Interviewees highlighted ways to improve the tool before testing of its psychometric properties in the planned second phase of this project.Conclusions: The SMAT had strong face validity and was particularly acceptable for use by pharmacists in hospital settings.
机译：背景：大多数居住在社区的老年人都有自己的用药方案。这项研究描述了自我药物评估工具（SMAT）的开发和测试的第一阶段，该工具旨在筛选与社区居民老年患者药物自我管理有关的认知和功能缺陷。目的：评价面部有效性方法：设计了一种仪器，使用5个评估量表来测量功能，认知，药物召回和依从性两个方面。该仪器包括标准化测试套件和测试人员说明。焦点小组访谈，个人访谈和调查被用来确定社区和医院药剂师对该工具的反应。焦点小组的笔录和个人访谈均以主题为编码。通过1样本t检验，将药剂师的有用性，彻底性和易用性等级以及使用仪器的意愿与7分制的中性等级进行了比较。结果：焦点小组访谈或分别对17名药剂师和3名药房学生（约有300名潜在学生）进行了访谈，他们响应了参加邀请。药剂师认为该工具将有助于确定药物管理和潜在干预措施的困难，他们表示愿意在各自的实践中使用该工具。在医院工作的药剂师比社区药剂师更愿意使用该工具。受访者强调了在该计划的第二阶段测试该工具的心理计量特性之前对其进行改进的方法。结论：SMAT具有很强的面部有效性，在医院环境中尤其适合药剂师使用。

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