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A Prospective Study of the Reliability and Validity of the Live Donor Assessment Tool

机译:实时捐助者评估工具可靠性和有效性的预期研究

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Background: The psychosocial evaluation is an important part of the live organ donor evaluation process, yet this is not standardized across institutions. Objective: This study was designed to prospectively test the reliability and validity of a semistructured psycho social evaluation tool that was recently developed and reported in the literature (the Live Donor Assessment Tool [LDAT 1). Methods: A total of 248 live donor candidates who presented for evaluation were invited to participate in a study that involved the LDAT being scored as part of the standard psychosocial evaluation process; 222 provided informed consent. Evaluations were conducted by staff experienced with psychosocial evaluation of living donors and trained in the use of the LDAT. Furthermore, 123 donor candidates were evaluated twice, as per routine standard of care, and had 2 LDATs administered. Reliability of the LDAT was assessed by calculating the internal consistency of the LDAT items and inter-rater reliability. Validity was assessed by comparing LDAT scores across the risk group categories (the traditional outcome designation of the psychosocial evaluation) and in 86 eventual donors, associations between LDAT scores, and indicators of psychosocial outcomes post-donation. Results: The LDAT was found to have good internal consistency, strong inter-rater reliability, and showed signs of validity: LDAT scores differentiated the traditional risk-group categories, and a significant association between LDAT score and treatment adherence post donation was revealed Conclusions: The LDAT demonstrated good reliability and validity, but future research on the LDAT and the ability to implement the LDAT across institutions is warranted.
机译:背景:心理社会评估是Live Organ捐赠者评估过程的重要组成部分,但这在机构上没有标准化。目的:本研究旨在预期测试最近在文献中开发和报告的半系统的灵神科社会评估工具的可靠性和有效性(Live捐赠者评估工具[LDAT 1)。方法:邀请申请评估的248名直播捐助者参加涉及LDAT作为标准心理社会评估进程的一部分的研究; 222提供知情同意。对生活捐助者的心理社会评估经验丰富的工作人员进行了评估,并在使用LDAT时受过培训。此外,根据常规护理标准评估123名供体候选者两次,并施用2升。通过计算LDAT项目的内部一致性和帧间可靠性来评估LDAT的可靠性。通过比较风险组类别的LDAT分数(心理社会评估的传统结果指定)和86个最终捐助者,LDAT分数之间的协会和捐赠后的心理外因的指标来评估有效性。结果:发现LDAT具有良好的内部一致性,强烈的帧间间可靠性,并显示有效性迹象:LDAT分数区分了传统的风险集团类别,并揭示了LDAT评分和治疗遵守后的重大关联:结论: LDAT展示了良好的可靠性和有效性,但不需要对LDAT的未来研究以及跨机构实施LDAT的能力。

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