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Activities of Daily Living Assessment among Nursing Home Residents with Advanced Dementia: Psychometric Reevaluation of the Bristol Activities of Daily Living Scale

机译：高级痴呆症育龄居民日常生活评估的活动：日常生本规模的Bristol活动的心理测量重新评估

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摘要

The purpose of this study was to conduct psychometric reevaluation of the Bristol Activities of Daily Living Scale (BADL) among a population logistically difficult to observe beyond cross-sectional analysis: nursing home residents with advanced dementia (AD). Data from observation-based measures were collected by nursing home staff at two intervals within a three-month time frame among 43 residents identified with AD via medical records and nursing home staff. Three broad properties of BADL were examined: factor structure, reliability, and validity. Principal components analysis determined underlying components. BADL internal consistency was assessed by Cronbach's and Guttman coefficients; test-retest reliability was also observed. Convergent validity was assessed by correlating BADL with theoretically linked measures of quality of life (QOL) and social engagement. Compared with the original evaluation, BADL showed inconsistent factor structure at interval 1 but comparable at interval 2. Reliability coefficients at both intervals were robust and comparable to the original evaluation. BADL demonstrated significant convergence with QOL and social engagement. Psychometric potency of BADL was confirmed, suggesting practice applicability with this AD population. Future research calls for further examination of tools to guide effective interventions with this vulnerable population.
机译：本研究的目的是在逻辑上难以观察到超出横截面分析的人口中的日常生本规例（BADL）的心灵重新评估，以外横断面分析：高级痴呆症（广告）的护理家庭居民。在通过医疗记录和养老院工作人员确定的43个居民之间的三个月时间范围内，在三个月的时间范围内，在三个月的时间范围内，通过两种间隔收集来自观测的措施的数据。检查BADL的三个广泛性质：因素结构，可靠性和有效性。主成分分析确定底层组件。 Badl内部一致性由Cronbach和Guttman系数评估;还观察到测试 - 保持性可靠性。通过将坏与生命质量（QOL）和社会参与的理论相关的措施与理论相关的措施相关来评估收敛有效性。与原始评估相比，BADL在间隔1时显示不一致的因子结构，但在间隔2间隔的可比性系数是可稳健的并且与原始评估相当。 Badl展示了QOL和社会参与的重大融合。 Badl的心理效力得到了确认，建议使用此广告人群进行实践。未来的研究要求进一步检查工具，以指导具有这种脆弱人口的有效干预措施。

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