Development of an assessment scale for engagement in activities for patients with moderate to severe dementia
Background Various types of therapy, including occupational therapy, are utilised for the treatment of moderate to severe dementia. In order to determine the optimal rehabilitation strategy for such patients and examine the treatment efficacy, an assessment scale for engagement in various group acti...
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Veröffentlicht in: | Psychogeriatrics 2021-05, Vol.21 (3), p.368-377 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Background
Various types of therapy, including occupational therapy, are utilised for the treatment of moderate to severe dementia. In order to determine the optimal rehabilitation strategy for such patients and examine the treatment efficacy, an assessment scale for engagement in various group activities that can be easily applied in clinical situations is required. We herein report the development of the Assessment Scale for Engagement in Activities (ASEA) and its clinical utility.
Methods
The ASEA was developed by nine occupational therapists and a psychiatrist with experience in developing measures for dementia, in accordance with the COSMIN (COnsensus‐based Standards for the selection of health status Measurement INstruments) checklist. This assessment comprises 10 items covering four domains: Engagement in the Activity, Interaction, Arousal, and Affect. Participants with moderate to severe dementia who resided in a psychiatric acute phase hospital in Japan were assessed in terms of engagement in activities using the ASEA and Todai‐shiki Observational Rating Scale (TORS), and in terms of cognitive function using the Mini‐Mental State Examination (MMSE). We examined the internal consistency, inter‐ and intra‐rater reliability, content validity, and concurrent validity of the ASEA.
Results
Cronbach's alpha of the ASEA was 0.889. The overall inter‐rater reliability was 0.937 (Spearman rank correlation, P |
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ISSN: | 1346-3500 1479-8301 |
DOI: | 10.1111/psyg.12678 |