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Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie 4/2014

01-09-2014

Een gedragsobservatieschaal voor participatie in psychogeriatrische dagbehandeling

Auteur: H. F. A. Diesfeldt

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 4/2014

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A behavioural rating scale of activity engagement in psychogeriatric day care

The Participation Scale was developed as an observational measure of activity engagement (as rated by group facilitators) of adult day care clients with mild to moderate dementia. In a consecutive sample of 448 subjects Mokken scaling procedure was conducted to assess the latent structure of 27 questionnaire items. The study included an exploratory and a confirmatory approach. For that purpose the sample was randomly divided into two halves. Exploratory analysis revealed three dimensions of participation that adequately captured the item structure: motivation (10 items; Loevinger’s H = 0.48), competence (7 items; H = 0.56) and self-confidence (4 items; H = 0.57). The structure was validated in a confirmatory analysis. In a stepwise multiple regression model 49% of the variance in motivation was explained by independent behavioural measures of apathy and affect. Apathy and cognitive impairment were significant predictors of competence in participation (R2 = 31.2%). Negative affect was the main predictor of reduced self-confidence (R2 = 37.9%). Cross-validation of these exploratory regression models on the confirmatory sample explained 39.6%, 29.2% and 23.1% of the variance in motivation, competence and self-confidence, respectively. Test-retest intraclass correlation coefficients (ICC2(A,1)) as determined in a random subsample of 56 participants, were 0.77 (motivation), 0.85 (competence) and 0.76 (self-confidence). The three measures allow the differentiation and ordering of individual participants on separate dimensions of activity engagement in psychogeriatric day care.
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Literatuur
1.
go back to reference Miranda-Castillo C, Woods B, Orrell M. People with dementia living alone: what are their needs and what kind of support are they receiving? International Psychogeriatrics 2010;22:607–617. PubMedCrossRef Miranda-Castillo C, Woods B, Orrell M. People with dementia living alone: what are their needs and what kind of support are they receiving? International Psychogeriatrics 2010;22:607–617. PubMedCrossRef
2.
go back to reference De Groot AJ, Spalburg BT, Allewijn M, Depla MFIA. Verborgen zorgbehoeften bij ouderen. Ambulante geriatrische consultatie in de praktijk, een dossieronderzoek. Tijdschrift voor Gerontologie en Geriatrie 2013;44:175–183. PubMedCrossRef De Groot AJ, Spalburg BT, Allewijn M, Depla MFIA. Verborgen zorgbehoeften bij ouderen. Ambulante geriatrische consultatie in de praktijk, een dossieronderzoek. Tijdschrift voor Gerontologie en Geriatrie 2013;44:175–183. PubMedCrossRef
3.
go back to reference Diesfeldt HFA. Dagbehandeling voor psychogeriatrische patiënten. In: Goedhard WJA, Knook DL, editors. Geriatrie-informatorium. Houten: Bohn Stafleu Van Loghum, 1988: J4025-1 tot J4025-15. Diesfeldt HFA. Dagbehandeling voor psychogeriatrische patiënten. In: Goedhard WJA, Knook DL, editors. Geriatrie-informatorium. Houten: Bohn Stafleu Van Loghum, 1988: J4025-1 tot J4025-15.
4.
go back to reference Stokes G. From psychological interventions to a psychology of dementia. In: Hughes JC, Lloyd-Williams M, Sachs GA, editors. Supportive care for the person with dementia. Oxford: Oxford University Press, 2010: 159–169. Stokes G. From psychological interventions to a psychology of dementia. In: Hughes JC, Lloyd-Williams M, Sachs GA, editors. Supportive care for the person with dementia. Oxford: Oxford University Press, 2010: 159–169.
5.
go back to reference Zarit SH, Kim K, Femia EE, Almeida DM, Savla J, Molenaar PCM. Effects of adult day care on daily stress of caregivers: a within-person approach. Journal of Gerontology: PSYCHOLOGICAL SCIENCES 2011;66:538–546. CrossRef Zarit SH, Kim K, Femia EE, Almeida DM, Savla J, Molenaar PCM. Effects of adult day care on daily stress of caregivers: a within-person approach. Journal of Gerontology: PSYCHOLOGICAL SCIENCES 2011;66:538–546. CrossRef
6.
go back to reference Wereldgezondheidsorganisatie. ICF, Nederlandse vertaling van de ‘International Classification of Functioning, Disability and Health’. Houten: Bohn Stafleu Van Loghum, 2002. Wereldgezondheidsorganisatie. ICF, Nederlandse vertaling van de ‘International Classification of Functioning, Disability and Health’. Houten: Bohn Stafleu Van Loghum, 2002.
7.
go back to reference Jette AM. Toward a common language of disablement. Journal of Gerontology: MEDICAL SCIENCES 2009;64A:1165–1168. Jette AM. Toward a common language of disablement. Journal of Gerontology: MEDICAL SCIENCES 2009;64A:1165–1168.
8.
go back to reference Huber M, Knottnerus JA, Green L, Van der Horst H, Jadad AR, Kromhout D, et al. How should we define health? British Medical Journal 2011;343:d4163. PubMedCrossRef Huber M, Knottnerus JA, Green L, Van der Horst H, Jadad AR, Kromhout D, et al. How should we define health? British Medical Journal 2011;343:d4163. PubMedCrossRef
9.
go back to reference Appelo M. De tafel van psychisch welbevinden. Directieve therapie 2013;33:255–257. Appelo M. De tafel van psychisch welbevinden. Directieve therapie 2013;33:255–257.
10.
go back to reference Bannink F. Positieve psychologie in de praktijk. Amsterdam: Hogrefe, 2009. Bannink F. Positieve psychologie in de praktijk. Amsterdam: Hogrefe, 2009.
11.
go back to reference Kurz A, Clare L, Lautenschlager NT. Add life to years: psychosocial interventions for people with cognitive disorders. International Psychogeriatrics 2013;25:1389–1391. PubMedCrossRef Kurz A, Clare L, Lautenschlager NT. Add life to years: psychosocial interventions for people with cognitive disorders. International Psychogeriatrics 2013;25:1389–1391. PubMedCrossRef
12.
go back to reference Alzheimer Nederland & Vilans. Zorgstandaard Dementie, 2013. Alzheimer Nederland & Vilans. Zorgstandaard Dementie, 2013.
13.
go back to reference Centraal indicatieorgaan zorg (CIZ). CIZ Basisrapportage AWBZ. Utrecht: Centraal indicatieorgaan zorg, 2013. Centraal indicatieorgaan zorg (CIZ). CIZ Basisrapportage AWBZ. Utrecht: Centraal indicatieorgaan zorg, 2013.
15.
go back to reference Cohen-Mansfield J, Dakheel-Ali M, Marx MS. Engagement in persons with dementia: the concept and its measurement. American Journal of Geriatric Psychiatry 2009;17:299–307. PubMedCentralPubMedCrossRef Cohen-Mansfield J, Dakheel-Ali M, Marx MS. Engagement in persons with dementia: the concept and its measurement. American Journal of Geriatric Psychiatry 2009;17:299–307. PubMedCentralPubMedCrossRef
16.
go back to reference Brooker D, Duce L. Wellbeing and activity in dementia. A comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time. Aging and Mental Health 2000;4:354–358. CrossRef Brooker D, Duce L. Wellbeing and activity in dementia. A comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time. Aging and Mental Health 2000;4:354–358. CrossRef
17.
go back to reference Kuiper D, Dijkstra GJ, Tuinstra J, Groothoff JW. De invloed van Dementia Care Mapping (DCM) op moeilijk hanteerbaar gedrag van mensen met dementie en de arbeidstevredenheid van verzorgenden: een pilostudie. Tijdschrift voor Gerontologie en Geriatrie 2009;40:102–112. PubMedCrossRef Kuiper D, Dijkstra GJ, Tuinstra J, Groothoff JW. De invloed van Dementia Care Mapping (DCM) op moeilijk hanteerbaar gedrag van mensen met dementie en de arbeidstevredenheid van verzorgenden: een pilostudie. Tijdschrift voor Gerontologie en Geriatrie 2009;40:102–112. PubMedCrossRef
18.
go back to reference Sabat SR, Gladstone CM. What intact social cognition and social behavior reveal about cognition in the moderate stage of Alzheimer’s disease. Dementia. The International Journal of Social Research and Practice 2010;9:61–78. Sabat SR, Gladstone CM. What intact social cognition and social behavior reveal about cognition in the moderate stage of Alzheimer’s disease. Dementia. The International Journal of Social Research and Practice 2010;9:61–78.
19.
go back to reference Kolanowski A, Litaker M, Buettner L, Moeller J, Costa PT. A randomized clinical trial of theory-based activities for the behavioral symptoms of dementia in nursing home residents. Journal of the American Geriatrics Society 2011;59:1032–1041. PubMedCentralPubMedCrossRef Kolanowski A, Litaker M, Buettner L, Moeller J, Costa PT. A randomized clinical trial of theory-based activities for the behavioral symptoms of dementia in nursing home residents. Journal of the American Geriatrics Society 2011;59:1032–1041. PubMedCentralPubMedCrossRef
20.
go back to reference Siedlecki KL, Tatarina O, Sanders L, Albert M, Blacker D, Dubois B, et al. Comparison of patient and caregiver reports of patient activity participation and its relationship to mental health in patients with Alzheimer’s disease. Journal of Gerontology: PSYCHOLOGICAL SCIENCES 2009;64B:687–695. CrossRef Siedlecki KL, Tatarina O, Sanders L, Albert M, Blacker D, Dubois B, et al. Comparison of patient and caregiver reports of patient activity participation and its relationship to mental health in patients with Alzheimer’s disease. Journal of Gerontology: PSYCHOLOGICAL SCIENCES 2009;64B:687–695. CrossRef
21.
go back to reference Diesfeldt HFA. Participatie in psychogeriatrische dagbehandeling. Ontwikkeling van een meetinstrument. Tijdschrift voor Gerontologie en Geriatrie 2008;39:55–63. PubMedCrossRef Diesfeldt HFA. Participatie in psychogeriatrische dagbehandeling. Ontwikkeling van een meetinstrument. Tijdschrift voor Gerontologie en Geriatrie 2008;39:55–63. PubMedCrossRef
22.
go back to reference Van der Kam P, Mol F, Wimmers MFHG. Beoordelingsschaal voor Oudere Patiënten. Deventer: Van Loghum Slaterus, 1971. Van der Kam P, Mol F, Wimmers MFHG. Beoordelingsschaal voor Oudere Patiënten. Deventer: Van Loghum Slaterus, 1971.
23.
go back to reference Verstraten PFJ, Van Eekelen CWJM. Handleiding voor de GIP: Gedragsobservatieschaal voor de Intramurale Psychogeriatrie. Deventer: Van Loghum Slaterus, 1987. Verstraten PFJ, Van Eekelen CWJM. Handleiding voor de GIP: Gedragsobservatieschaal voor de Intramurale Psychogeriatrie. Deventer: Van Loghum Slaterus, 1987.
24.
go back to reference Van Loveren-Huyben CMS, Van der Bom JA, Bronts PAJM. Handleiding voor de BPS: Beoordelingsschaal voor Psychische en Sociale problemen in het verzorgingshuis. Deventer: Van Loghum Slaterus, 1988. Van Loveren-Huyben CMS, Van der Bom JA, Bronts PAJM. Handleiding voor de BPS: Beoordelingsschaal voor Psychische en Sociale problemen in het verzorgingshuis. Deventer: Van Loghum Slaterus, 1988.
25.
go back to reference Ettema T, De Lange J, Dröes RM, Mellenbergh D, Ribbe M. Handleiding Qualidem. Een meetinstrument Kwaliteit van leven bij mensen met dementie in verpleeg- en verzorgingshuizen, versie 1. Utrecht: Trimbos Instituut, 2005. Ettema T, De Lange J, Dröes RM, Mellenbergh D, Ribbe M. Handleiding Qualidem. Een meetinstrument Kwaliteit van leven bij mensen met dementie in verpleeg- en verzorgingshuizen, versie 1. Utrecht: Trimbos Instituut, 2005.
26.
go back to reference Sijtsma K, Molenaar IW. Introduction to nonparametric item response theory. London: Sage, 2002. Sijtsma K, Molenaar IW. Introduction to nonparametric item response theory. London: Sage, 2002.
27.
go back to reference Molenaar IW, Van Schuur WH, Sijtsma K, Mokken RJ. MSPWIN 5.0 A program for Mokken scale analysis for polytomous items. Groningen: Science Plus Group, 2002. Molenaar IW, Van Schuur WH, Sijtsma K, Mokken RJ. MSPWIN 5.0 A program for Mokken scale analysis for polytomous items. Groningen: Science Plus Group, 2002.
28.
go back to reference Stochl J, Jones PB, Croudace TJ. Mokken scale analysis of mental health and wellbeing questionnaire item responses: a nonparametric IRT method in empirical research for applied health researchers. BMC Medical Research Methodology 2012;12:74. PubMedCentralPubMedCrossRef Stochl J, Jones PB, Croudace TJ. Mokken scale analysis of mental health and wellbeing questionnaire item responses: a nonparametric IRT method in empirical research for applied health researchers. BMC Medical Research Methodology 2012;12:74. PubMedCentralPubMedCrossRef
29.
go back to reference Ellis JL. Statistiek voor de psychologie, deel 5: factoranalyse en itemanalyse. Den Haag: Boom Lemma, 2013. Ellis JL. Statistiek voor de psychologie, deel 5: factoranalyse en itemanalyse. Den Haag: Boom Lemma, 2013.
30.
go back to reference Van der Ark LA. Mokken scale analysis in R. Journal of Statistical Software 2007;20:1–19. Van der Ark LA. Mokken scale analysis in R. Journal of Statistical Software 2007;20:1–19.
31.
go back to reference Zhang Z, Yuan KH. Robust coefficient alpha for non-normal and missing data: The R Foundation for Statistical Computing, 2013. Zhang Z, Yuan KH. Robust coefficient alpha for non-normal and missing data: The R Foundation for Statistical Computing, 2013.
32.
go back to reference De Jonghe JFM, Ooms ME, Ribbe MW. Verkorte Gedragsobservatieschaal voor de Intramurale Psychogeriatrie (GIP-28). Tijdschrift voor Gerontologie en Geriatrie 1997;28:119–123. PubMed De Jonghe JFM, Ooms ME, Ribbe MW. Verkorte Gedragsobservatieschaal voor de Intramurale Psychogeriatrie (GIP-28). Tijdschrift voor Gerontologie en Geriatrie 1997;28:119–123. PubMed
33.
go back to reference Dobson AJ, Barnett AG. An introduction to generalized linear models. Third edition. Boca Raton: Chapman & Hall/CRC, 2008. Dobson AJ, Barnett AG. An introduction to generalized linear models. Third edition. Boca Raton: Chapman & Hall/CRC, 2008.
34.
go back to reference Hothorn T. Testing Linear Regression Models: The R Foundation for Statistical Computing, 2013. Hothorn T. Testing Linear Regression Models: The R Foundation for Statistical Computing, 2013.
35.
go back to reference Diesfeldt HFA. Wat is een reëel verschil bij herhaalde metingen met de Gedragsobservatieschaal voor de Intramurale Psychogeriatrie(GIP)? Onderzoek bij deelnemers aan psychogeriatrische dagbehandeling. Tijdschrift voor Gerontologie en Geriatrie 2013;44:166–174. PubMedCrossRef Diesfeldt HFA. Wat is een reëel verschil bij herhaalde metingen met de Gedragsobservatieschaal voor de Intramurale Psychogeriatrie(GIP)? Onderzoek bij deelnemers aan psychogeriatrische dagbehandeling. Tijdschrift voor Gerontologie en Geriatrie 2013;44:166–174. PubMedCrossRef
36.
go back to reference McGraw KO, Wong SP. Forming inferences about some intraclass correlation coefficients. Psychological Methods 1996;1:30–46. CrossRef McGraw KO, Wong SP. Forming inferences about some intraclass correlation coefficients. Psychological Methods 1996;1:30–46. CrossRef
37.
go back to reference De Vet HCW, Terwee CB, Knol DL, Bouter LM. When to use agreement versus reliability measures. Journal of Clinical Epidemiology 2006;59:1033–1039. PubMedCrossRef De Vet HCW, Terwee CB, Knol DL, Bouter LM. When to use agreement versus reliability measures. Journal of Clinical Epidemiology 2006;59:1033–1039. PubMedCrossRef
38.
go back to reference Streiner DL, Norman GR. Health measurement scales. A practical guide to their development and use. Fourth edition. Oxford: Oxford University Press, 2008. Streiner DL, Norman GR. Health measurement scales. A practical guide to their development and use. Fourth edition. Oxford: Oxford University Press, 2008.
39.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association, 1994. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association, 1994.
40.
go back to reference Kline RB. Beyond significance testing. Washington DC: American Psychological Association, 2004. Kline RB. Beyond significance testing. Washington DC: American Psychological Association, 2004.
41.
go back to reference Cohen J. Statistical power analysis for the behavioral sciences. Second edition. Hillsdale: Lawrence Erlbaum, 1988. Cohen J. Statistical power analysis for the behavioral sciences. Second edition. Hillsdale: Lawrence Erlbaum, 1988.
42.
go back to reference Ponterotto JG, Charter RA. Statistical extensions of Ponterotto and Ruckdeschel’s (2007) reliability matrix for estimating the adequacy of internal consistency coefficients. Perceptual and Motor Skills 2009;108:878–886. PubMedCrossRef Ponterotto JG, Charter RA. Statistical extensions of Ponterotto and Ruckdeschel’s (2007) reliability matrix for estimating the adequacy of internal consistency coefficients. Perceptual and Motor Skills 2009;108:878–886. PubMedCrossRef
43.
go back to reference Portney LG, Watkins MP. Foundations of clinical research. Applications to practice. Third edition. Upper Saddle River: Pearson Education, 2009. Portney LG, Watkins MP. Foundations of clinical research. Applications to practice. Third edition. Upper Saddle River: Pearson Education, 2009.
44.
go back to reference Ponterotto JG, Ruckdeschel DE. An overview of coefficient alpha and a reliability matrix for estimating adequacy of internal consistency coefficients with psychological research measures. Perceptual and Motor Skills 2007;105:997–1014. PubMed Ponterotto JG, Ruckdeschel DE. An overview of coefficient alpha and a reliability matrix for estimating adequacy of internal consistency coefficients with psychological research measures. Perceptual and Motor Skills 2007;105:997–1014. PubMed
45.
go back to reference Kitwood T, Bredin K. Towards a theory of dementia care: Personhood and well-being. Ageing and Society 1992;12:269–287. PubMedCrossRef Kitwood T, Bredin K. Towards a theory of dementia care: Personhood and well-being. Ageing and Society 1992;12:269–287. PubMedCrossRef
46.
go back to reference Sabat SR, Lee JM. Relatedness among people diagnosed with dementia: social cognition and the possibility of friendship. Dementia 2011;11:315–327. CrossRef Sabat SR, Lee JM. Relatedness among people diagnosed with dementia: social cognition and the possibility of friendship. Dementia 2011;11:315–327. CrossRef
47.
go back to reference Spector A, Gardner C, Orrell M. The impact of Cognitive Stimulation Therapy groups on people with dementia: views from participants, their carers and group facilitators. Aging and Mental Health 2011;15:945–949. PubMedCrossRef Spector A, Gardner C, Orrell M. The impact of Cognitive Stimulation Therapy groups on people with dementia: views from participants, their carers and group facilitators. Aging and Mental Health 2011;15:945–949. PubMedCrossRef
48.
go back to reference Hoe J, Hancock G, Livingston G, Woods B, Challis D, Orrell M. Changes in the quality of life of people with dementia living in care homes. Alzheimer Disease and Associated Disorders 2009;23:285–290. PubMedCentralPubMedCrossRef Hoe J, Hancock G, Livingston G, Woods B, Challis D, Orrell M. Changes in the quality of life of people with dementia living in care homes. Alzheimer Disease and Associated Disorders 2009;23:285–290. PubMedCentralPubMedCrossRef
Metagegevens
Titel
Een gedragsobservatieschaal voor participatie in psychogeriatrische dagbehandeling
Auteur
H. F. A. Diesfeldt
Publicatiedatum
01-09-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Gerontologie en Geriatrie / Uitgave 4/2014
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI
https://doi.org/10.1007/s12439-014-0080-6

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