音乐治疗意识障碍患者意识评估工具(MATADOC):一种评估意识障碍患者意识的信度和效度的方法。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2016-01-01 DOI:10.1093/jmt/thv017

W. Magee, R. Siegert, Steve Taylor, B. Daveson, Gemma Lenton-Smith

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引用次数: 25

摘要

背景:长期意识障碍(PDOC)描述了一种人群，其中意识障碍在受伤后持续至少四周，但仍在调查中。复杂的运动、感觉、沟通和认知障碍给诊断、评估和干预计划带来挑战。制定敏感、可靠和有效的措施是一个中心问题。听觉模态对识别意识最为敏感;然而，目前标准化的行为测量不能提供足够的筛选和测量听觉反应。意识障碍中意识的音乐治疗评估工具(MATADOC)是最近使用PDOC进行评估的标准化措施;然而，它的两个分量表的心理测量值需要检查。目的确定MATADOC量表2和量表3的测量特征和性质。方法采用前瞻性重复测量法，选取21名PDOC患者作为方便样本，对两个分量表的量表间信度(IRR)和重测信度(TRR)以及第二分量表的内部一致性进行检验。结果总体而言，来自MATADOC子量表2和3的项目在评估者之间和内部表现出良好的一致性，在两个确定的项目上存在一些差异。结论MATADOC是评价PDOC患者听觉反应性的标准方法。这两个项目的心理测量限制可能是由于音乐治疗师临床经验和培训的差异，导致PDOC患者对这两个MATADOC评估项目的反应的管理和解释的差异。尽管MATADOC的心理测量特性有待改进，但其临床测量特性使其成为指导PDOC患者临床工作的有价值的评估。

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Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC): Reliability and Validity of a Measure to Assess Awareness in Patients with Disorders of Consciousness.

BACKGROUND Prolonged Disorders of Consciousness (PDOC) describes a population where a consciousness disorder has persisted for at least four weeks post injury but is still under investigation. Complex motor, sensory, communication, and cognitive impairments cause challenges with diagnosis, assessment, and intervention planning. Developing sensitive, reliable, and valid measures is a central concern. The auditory modality is the most sensitive for identifying awareness; however, the current standardized behavioral measures fail to provide adequate screening and measurement of auditory responsiveness. The Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) is a recently standardized measure for assessment with PDOC; however, psychometric values for two of its subscales require examination. OBJECTIVE To determine the measurement characteristics and properties of the MATADOC subscales two and three. METHODS In a convenience sample of 21participants with PDOC, a prospective repeated measures study examined inter-rater reliability (IRR) and test-retest reliability (TRR) for both subscales and internal consistency of subscale two. RESULTS Overall, the items from the MATADOC subscales two and three demonstrated good agreement across and within assessors, with some variability on two identified items. CONCLUSIONS The MATADOC is a standardized measure for assessment of auditory responsiveness in PDOC. Psychometric limitations for the two identified items may have resulted from variations in music therapist clinical experience and training, leading to variations in the administration and interpretation of PDOC patient responses to these two MATADOC assessment items. Although its psychometric properties could be improved, the MATADOC's clinimetric properties make it a valuable assessment to guide clinical work for patients with PDOC.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.