Timothy F Platts-Mills, John A Encarnacion, Rayad Bin Shams, Karen Hurka-Richardson, Tony Rosen, Brad Cannell
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引用次数: 0
摘要
开发可靠的筛查工具来识别虐待老人行为需要一个准确且可重复的参考标准。本研究旨在调查 "纵向、专家、所有数据（LEAD）"方法作为确认是否存在虐待老人行为的参考标准的可靠性。我们分析了一项基于急诊科的大型研究的数据，该研究使用 LEAD 小组来确定参考标准。在这项研究中，第二个盲法 LEAD 小组审查了 40 名患者的临床资料。每个小组由五位内容专家投票决定是否存在虐待老人的情况。我们发现，两个专家组在确定是否存在虐待老人行为方面的意见基本一致：一致率为 85%；k = 0.58；95% 置信区间为 0.28-0.87。两个专家组的个人评定者均表示，90%以上的投票结果为基本确定或确定。在这种情况下，有必要进一步确定和提高 LEAD 方法的可靠性。
Reliability of the longitudinal experts all data (LEAD) methodology for determining the presence of elder mistreatment.
Developing reliable screening tools to identify elder mistreatment requires an accurate and reproducible reference standard. This study sought to investigate the reliability of the Longitudinal, Experts, All Data (LEAD) methodology as a reference standard in confirming presence of elder mistreatment. We analyzed data from a large, emergency department-based study that used a LEAD panel to determine the reference standard. For this study, a second, blinded LEAD panel reviewed clinical material for 40 patients. For each panel, five content experts voted on whether elder mistreatment was present. We found moderate agreement between the two LEAD panels in determining presence of elder mistreatment: 85% agreement; k = 0.58; 95% Confidence Interval 0.28-0.87. Individual raters for both LEAD panels reported being mostly certain or certain >90% of votes. Efforts to further characterize and improve the reliability of the LEAD methodology in this context are warranted.
期刊介绍：
The Journal of Elder Abuse & Neglect is the peer-reviewed quarterly journal that explores the advances in research, policy and practice, and clinical and ethical issues surrounding the abuse and neglect of older people. This unique forum provides state-of-the-art research and practice that is both international and multidisciplinary in scope. The journal"s broad, comprehensive approach is only one of its strengths—it presents training issues, research findings, case studies, practice and policy issues, book and media reviews, commentary, and historical background on a wide range of topics. Readers get tools and techniques needed for better detecting and responding to actual or potential elder abuse and neglect.
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