Adaptation and validation of the Abrams geriatric self-neglect assessment scale among older Chinese people admitted to the hospital

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2023-08-13 DOI:10.1111/opn.12569

Qiongying Xu BS, RN, Liuqing Xu MS, RN, Jingrui Tao BS, RN, Xuewei Chen BS, RN, Yao Zhang BS, RN, Sisi Jiang MS, RN, Chaoqun Dong PhD. RN

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Abstract

Objectives

Elder self-neglect is a global public health problem, and older people admitted to the hospital may have a higher risk of self-neglect due to their deteriorating health conditions. This study aimed to translate, adapt and validate the Abrams geriatric self-neglect assessment scale (AGSS) among older Chinese people admitted to the hospital.

Methods

Data were derived from a cross-sectional survey of a convenience sample of 452 older people admitted to a general hospital. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the structural validity of the AGSS. Content validity, criterion validity, internal consistency reliability, and test–retest reliability were also conducted to assess the psychometric properties of the scale.

Results

EFA yielded a 6-item one-factor model, which was supported by CFA and explained 44.74% of the total variance. The internal consistency was acceptable (Cronbach α = 0.740), and the test–retest reliability with a 14-day interval was good (intraclass correlation coefficient, ICC = 0.966). Significantly positive correlations with the caregiver-rated elder self-neglect assessment scale (r = 0.648) supported the concurrent validity of the scale. Significant differences in scores between respondents with different ages, marital statuses, educational levels and numbers of chronic diseases demonstrated the discriminative validity.

Conclusion

The Chinese version of the AGSS is an easy-to-use, reliable and valid measure with satisfactory psychometric properties. Future studies should recruit a more representative sample of older people in China to verify the applicability of the scale.

Implications for Practice

The Chinese version of the AGSS enables clinical staff to accurately screen for and assess elder self-neglect upon hospital admission, which can inform the development of specific interventions and assignment of additional guardianship to those at risk of elder self-neglect.

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艾布拉姆斯老年自我忽视评估量表在住院中国老年人中的适应性和验证。

目的：老年人自我忽视是一个全球性的公共卫生问题，入院的老年人由于健康状况恶化，可能有更高的自我忽视风险。本研究旨在翻译、改编和验证艾布拉姆斯老年自我忽视评估量表（AGSS）在住院的中国老年人中的应用。方法：数据来源于对452名入住综合医院的老年人进行的横断面调查。采用探索性因素分析（EFA）和验证性因素分析法（CFA）对AGSS的结构有效性进行检验。内容有效性、标准有效性、内部一致性信度和重测信度也被用来评估量表的心理测量特性。结果：EFA产生了一个6项单因素模型，该模型得到了CFA的支持，解释了44.74%的总方差。内部一致性可接受（Cronbachα = 0.740），间隔14天的重测可靠性良好（组内相关系数，ICC = 0.966）。与护理人员评定的老年人自我忽视评估量表显著正相关（r = 0.648）支持量表的同时有效性。不同年龄、婚姻状况、教育水平和慢性病数量的受访者之间的得分存在显著差异，这表明了歧视的有效性。结论：AGSS中文版是一种简便、可靠、有效的测量方法，具有令人满意的心理测量特性。未来的研究应该招募一个更具代表性的中国老年人样本，以验证该量表的适用性。实践意义：AGSS的中文版使临床工作人员能够在入院时准确筛查和评估老年人的自我忽视，这可以为制定具体干预措施和为有老年人自我忽视风险的人分配额外监护提供信息。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.