Iranian Version of 4AT, an Instrument for Rapid Delirium Screening for Later Life

سال انتشار: 1394
محل انتشار: چهارمین کنفرانس بین المللی روانشناسی و علوم اجتماعی
کد COI اختصاصی: RAFCON04_028
زبان مقاله: انگلیسی
تعداد مشاهده: 1291

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نویسندگان

Abdolrahim Asadollahi

Australian Centre for Quality of Life, Deakin University, Melbourne, Australia.

Mohammad Saberi

Nursing and Midwifery School, Mazandaran University of Medical Science, Sari, Iran

Mariam Entezari

Nursing and Midwifery School, Mazandaran University of Medical Science, Sari, Iran

Zohreh Hoseini

Nursing and Midwifery School, Mazandaran University of Medical Science, Sari, Iran

چکیده

Background: About 14–56 per cent of hospitalized older adults were affected by cognitive impairment. Objective: To identify the psychometric properties of the 4AT screening instrument for delirium. Design: prospective and cross-sectional study with the 4AT and reference standard DSM-5. Participants: About 164 hospitalized men (age range=65-93, mean age=69.3±1.47) were sampled with the cluster-ratio sampling method. Setting: The eight daily caring centers in Ahwaz city in southwestern Iran in the mid-2015. Measurements: After replying to the 4AT, DSM-5 criteria (2013) was acquired as reference standard diagnosis during 45 minutes by another psychiatrics who were blind to the scores. Results: The coefficients of Cronbach‟s alpha (α=.89), convergent (.85), divergent (-.05), and criterion validity (.91) were estimated (ρ< .01). The exploratory factor analysis demonstrated that the 4AT are organized into one factor, which clarify 97 per cent of the scale‟s variance. Second-order confirmatory factor analysis pointed out that the factor are well matched up onto a principal factor. Consequently, the 1-factor model was well appropriate for the data by the fit index techniques for adjusting the scale as well as areas under the ROC curve=.93 (AGFI=.96, TLI=.94, GFI=.92, RMSEA=.003, IFI=.91, NFI=.95, CFI=.92). Conclusions: The results indicated that the 4AT is well-adjusted and its usefulness for the relevant studies as well.

کلیدواژه ها

Validity & Reliability, 4AT, Delirium, Later Life, Iranian Version

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