社區長者健康促進方案成效評估工具的發展

Hui-Fen Mao; Hsin-Yi Li; Ling-Hui Chang; Athena Yi-Jung Tsai; Tsu-Ann Kuo; Ya-Mei Chen; Shu-Ching Chang; Chien-Lung Hsu; Chao-Chun Wu; Shu-Li Chia; Shu-Ying Lo; Chiung-Dan Chang; Ching-Yi Wu

doi:10.6320/FJM.202307_27(4).0002

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P408 - 422

医药卫生 > 医药卫生综合

DOI： 10.6320/FJM

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社区长者健康促进方案成效评估工具的发展

The Development of an Outcome Measure of Health-Promotion Program for Community-Dwelling Elderly

毛慧芬(Hui-Fen Mao) ；李昕怡(Hsin-Yi Li) ；张玲慧(Ling-Hui Chang) ；蔡宜蓉(Athena Yi-Jung Tsai) ；郭慈安(Tsu-Ann Kuo) ；陈雅美(Ya-Mei Chen) ；张淑卿(Shu-Ching Chang) ；许建隆(Chien-Lung Hsu) ；吴昭军(Chao-Chun Wu) ；贾淑丽(Shu-Li Chia) ；罗素英(Shu-Ying Lo) ；张琼丹(Chiung-Dan Chang) ；吴菁宜(Ching-Yi Wu)

台湾医学； 27 卷 4 期 (2023 / 07 / 25) ， P408 - 422

繁体中文;英文 DOI： 10.6320/FJM.202307_27(4).0002

长者；社区健康服务；心理计量特性；品质指标；效度； aged ； community health services ； psychometrics ； quality indicators ； validity

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摘要 │ 参考文献 (11) │ 国际计量

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In response to the elders' health care needs, many countries actively promote community health promotion programs for older people. However, there is a lack of simple and community-friendly assessment tools to measure the changes in multiple health domains after participating in the program. The health-promotion program outcome measure was designed to evaluate the effectiveness of health promotion programs for community-dwelling elderly. The first version of this instrument consists of 34 items in five domains (cognition, physical, activities of daily living, nutrition and oral function, and psychosocial function). This study aimed to develop a reliable and valid outcome measure through item selection to form a final version and examine the psychometric properties. This study used a convenient sampling to recruit subjects over 65 participating in community health promotion or disability prevention programs and with a wide range of health statuses (except for severe disability/dementia). They were assessed with the health-promotion program outcome measure and the elderly frailty scale (Kihon Checklist). In addition, we randomly selected subjects to complete the re-test approximately two weeks after the first assessment and the post-test after finishing the 12-week programs. A total of 137 elders (61 healthy, 32 frail, and 44 demented) completed the pre-test, with an average age of 76.63±7.50 years. Additionally, 87 subjects completed the re-test, and 57 completed the post-test. After the item selection, the final version of the health-promotion program outcome measure incorporated five subscales with a total of 20 items (4 for each subscale). The outcome measure had good internal consistency (Mcdonald's ω=0.811) and test-retest reliability (ICC=0.912). The convergent validity indicated a moderate correlation between the outcome measure and the Kihon Checklist (Pearson's r=0.698); the discriminant validity showed satisfactory discrimination among the healthy, the frail, and the dementia. Small to medium magnitude intervention effects were captured by the outcome measure, with significant improvement in the total score, and the subscale scores of physical, cognition, and psychosocial function (p<0.001). Conclusion: The 20-item health-promotion program outcome measure is concise and has good reliability/validity. It is suitable for assessing the effectiveness of health promotion programs targeting different elderly populations.

参考文献 ( 11 ) 〈TOP〉

毛慧芬,李昕怡,张玲慧(2023)。社区长者健康促进方案成效评估工具的发展。台湾医学，27，408-422。
连结：
蔡淑凤,陈时中,吕淑贞,刘丽婷(2018)。高龄者预防照护之政策与实务。护理杂志，65，13-19。
连结：
Michel, JP,Leonardi, M,Martin, M,Prina, M(2021).WHO's report for the decade of healthy ageing 2021-30 sets the stage for globally comparable data on healthy ageing.Lancet Healthy Longev,2,121-122.
Satake, S,Senda, K,Hong, YJ(2016).Validity of the Kihon Checklist for assessing frailty status.Geriatr Gerontol Int,16,709-715.
World Health Organization: Decade of healthyageing: baseline report. https://apps.who.int/ iris/handle/10665/338677. Published 2020./ Accessed August 21, 2022.

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