Swasthya Assessment Scale (SAS)-Ayurveda based health assessment tool-insights on its development and validation.

Ayu Pub Date : 2021-10-01 Epub Date: 2023-05-17 DOI:10.4103/ayu.ayu_40_21
Jaiprakash Bholanath Ram, Babita Yadav, V Ashwathykutty, Sophia Jameela, Azeem Ahmad, Saket Ram Thrigulla, Sakshi Sharma, Rakesh K Rana, Richa Singhal, Bhogavalli Chandrasekhara Rao, N Srikanth, K S Dhiman
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Abstract

Introduction: Ayurveda has a unique way of understanding the body, health, and diseases. Various determinants, including biological, ecological, medical, psychological, sociocultural, spiritual, and metaphysical factors, which depend on each other, have their role in determining health in Ayurveda. Currently, no validated health assessment scale, based on the principles of Ayurveda is available. This article, for the first time, reports the development, validation, and reliability testing of the Swasthya assessment scale - a health assessment tool developed in Ayurveda.

Materials and methods: A thorough literature search and expert consultations were done to draft the items encompassing the concept of health in Ayurveda. A group of experts assessed the content validity of the drafted items. Cognitive de-briefing and pretesting were performed to modify the language and the content again. Reliability testing was done with an inter-observer agreement in a sample of 183 individuals.

Results: The content validity index for items and the scale-level content validity index (S-CVI) were calculated. S-CVI for scale was excellent, with 85% agreement. The S-CVI/universal agreement was 0.45, and S-CVI/Average was 0.95. In inter-rater reliability, the percentage agreement was 73.7%. Pearson correlation coefficient was 0.808 showing a strong correlation.

Conclusion: Following appropriate validation, the scale can be widely used in clinical practice to assess the patient's health status, guide the treatment plans, and monitor the progress of the health. It can also be used as a sensitive tool in the research of Ayurveda to assess the changes in patients brought about by Ayurveda interventions.

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Swasthya评估量表(SAS)-基于阿育吠陀的健康评估工具对其开发和验证的见解。
简介:阿育吠陀有一种独特的方式来理解身体、健康和疾病。各种决定因素,包括生物、生态、医学、心理、社会文化、精神和形而上学因素,相互依赖,在阿育吠陀中对健康起着决定作用。目前,还没有基于阿育吠陀原理的经验证的健康评估量表。本文首次报道了阿育吠陀中开发的健康评估工具Swasthya评估量表的开发、验证和可靠性测试。材料和方法:进行了彻底的文献检索和专家咨询,以起草包含阿育吠达健康概念的项目。一组专家评估了起草项目的内容有效性。进行认知脱简和预测试以再次修改语言和内容。可靠性测试是在观察者之间达成一致的情况下,在183人的样本中进行的。结果:计算出项目的内容有效性指数和量表水平内容有效性指标(S-CVI)。S-CVI在量表方面表现出色,有85%的一致性。S-CVI/普遍一致性为0.45,S-CVI/Average为0.95。在评分者间信度中,一致性百分比为73.7%。Pearson相关系数为0.808,显示出强相关性。结论:经过适当的验证,该量表可在临床实践中广泛用于评估患者的健康状况、指导治疗计划和监测健康进展。它也可以作为阿育吠陀研究的敏感工具,评估阿育吠达干预措施给患者带来的变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Ayu
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