Development of the dementia quality of life instrument-Japanese version
Aim: The aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version). Methods: The subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained a...
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| Published in | Nihon Rōnen Igakkai zasshi Vol. 42; no. 4; pp. 423 - 431 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan
The Japan Geriatrics Society
2005
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0300-9173 |
| DOI | 10.3143/geriatrics.42.423 |
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| Abstract | Aim: The aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version). Methods: The subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained approval for participation in the investigation. The interview survey was conducted from October 2002 to January 2003. Results: In the subscales of the DQoL-Japanese Version, “negative feelings” scored the highest and “affirmative feelings” the lowest. There was a significant correlation coefficient between the test and those of a conducted 2 weeks later, ranging from 0.730 to 0.857 (p<0.05). The internal consistency reliability for the five scales ranges from alpha 0.66 to 0.864. There was a significant correlation coefficient between the Geriatric Depression Scale (GDS) and DQOL sub-scales such as “self esteem, ” “positive affect”, “negative feelings” and “feeling of belonging”. On the other hand, there was no significant relationship between the GDS and “aesthetics” of the DQoL-Japanese Version. Conclusions: It was suggested that the DQoL-Japanese Version DQoL is useful to measure subjective QOL of elderly patients with dementia. The subjects who understood the questions of the DQoL-Japanese Version and were able to be interviewed, had a Mini-Mental State score of 13 points or more. It was clarified that DQoL-Japanese Version was reliable and showed evidence of validity as well as the original DQOL. |
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| AbstractList | The aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version).AIMThe aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version).The subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained approval for participation in the investigation. The interview survey was conducted from October 2002 to January 2003.METHODSThe subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained approval for participation in the investigation. The interview survey was conducted from October 2002 to January 2003.In the subscales of the DQoL-Japanese Version, "negative feelings" scored the highest and "affirmative feelings" the lowest. There was a significant correlation coefficient between the test and those of a conducted 2 weeks later, ranging from 0.730 to 0.857 (p<0.05). The internal consistency reliability for the five scales ranges from alpha=0.66 to 0.864. There was a significant correlation coefficient between the Geriatric Depression Scale (GDS) and DQOL sub-scales such as "self esteem," "positive affect", "negative feelings" and "feeling of belonging". On the other hand, there was no significant relationship between the GDS and "aesthetics" of the DQoL-Japanese Version.RESULTSIn the subscales of the DQoL-Japanese Version, "negative feelings" scored the highest and "affirmative feelings" the lowest. There was a significant correlation coefficient between the test and those of a conducted 2 weeks later, ranging from 0.730 to 0.857 (p<0.05). The internal consistency reliability for the five scales ranges from alpha=0.66 to 0.864. There was a significant correlation coefficient between the Geriatric Depression Scale (GDS) and DQOL sub-scales such as "self esteem," "positive affect", "negative feelings" and "feeling of belonging". On the other hand, there was no significant relationship between the GDS and "aesthetics" of the DQoL-Japanese Version.It was suggested that the DQoL-Japanese Version DQoL is useful to measure subjective QOL of elderly patients with dementia. The subjects who understood the questions of the DQoL-Japanese Version and were able to be interviewed, had a Mini-Mental State score of 13 points or more. It was clarified that DQoL-Japanese Version was reliable and showed evidence of validity as well as the original DQOL.CONCLUSIONSIt was suggested that the DQoL-Japanese Version DQoL is useful to measure subjective QOL of elderly patients with dementia. The subjects who understood the questions of the DQoL-Japanese Version and were able to be interviewed, had a Mini-Mental State score of 13 points or more. It was clarified that DQoL-Japanese Version was reliable and showed evidence of validity as well as the original DQOL. Aim: The aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version). Methods: The subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained approval for participation in the investigation. The interview survey was conducted from October 2002 to January 2003. Results: In the subscales of the DQoL-Japanese Version, “negative feelings” scored the highest and “affirmative feelings” the lowest. There was a significant correlation coefficient between the test and those of a conducted 2 weeks later, ranging from 0.730 to 0.857 (p<0.05). The internal consistency reliability for the five scales ranges from alpha 0.66 to 0.864. There was a significant correlation coefficient between the Geriatric Depression Scale (GDS) and DQOL sub-scales such as “self esteem, ” “positive affect”, “negative feelings” and “feeling of belonging”. On the other hand, there was no significant relationship between the GDS and “aesthetics” of the DQoL-Japanese Version. Conclusions: It was suggested that the DQoL-Japanese Version DQoL is useful to measure subjective QOL of elderly patients with dementia. The subjects who understood the questions of the DQoL-Japanese Version and were able to be interviewed, had a Mini-Mental State score of 13 points or more. It was clarified that DQoL-Japanese Version was reliable and showed evidence of validity as well as the original DQOL. The aim of this study was to develop the Dementia Quality of Life Instrument-Japanese version (DQoL-Japanese Version). The subjects were 72 elderly patients, 19 men and 53 women (Vascular Dementia: 66, Senile dementia Alzheimer type 6) using day care and day services who had obtained approval for participation in the investigation. The interview survey was conducted from October 2002 to January 2003. In the subscales of the DQoL-Japanese Version, "negative feelings" scored the highest and "affirmative feelings" the lowest. There was a significant correlation coefficient between the test and those of a conducted 2 weeks later, ranging from 0.730 to 0.857 (p<0.05). The internal consistency reliability for the five scales ranges from alpha=0.66 to 0.864. There was a significant correlation coefficient between the Geriatric Depression Scale (GDS) and DQOL sub-scales such as "self esteem," "positive affect", "negative feelings" and "feeling of belonging". On the other hand, there was no significant relationship between the GDS and "aesthetics" of the DQoL-Japanese Version. It was suggested that the DQoL-Japanese Version DQoL is useful to measure subjective QOL of elderly patients with dementia. The subjects who understood the questions of the DQoL-Japanese Version and were able to be interviewed, had a Mini-Mental State score of 13 points or more. It was clarified that DQoL-Japanese Version was reliable and showed evidence of validity as well as the original DQOL. |
| Author | Ooshiro, Hajime Suzuki, Mizue Kanamori, Masao Uchida, Atsuko |
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| References | 23) Hall GR, Buckwalter CB: Progressively lowered stress threshold: A conceptual model for care adults with Alzheimer's disease, Achieves of Psychiatric Nursing 1957; 1 (6): 399-406. 4) Whitehouse PJ, Orgogozo JM, Becker RE, Gauthier S, Pontecorvo M, Erzigkeit H, et al.: Quality-of-life assessment in dementia drug development. Position paper from the International Working Group on Harmonization of Dementia Drug Guidelines. Alzheimer Dis Assoc Disord 1997: 11 (S39): 56-60. 5) 篠崎人理, 高橋誠一: バリデーションへの誘い, 訪問看護と介護 2002; 7 (5): 368-373. 14) Lawton MP: Quality of Life in Alzheimer's Disease. Alzheimer's Disease Associated Disorder 1994; 8 (S.3): 138-150. 6) Boden C: 画垣陽子訳, 私は誰になっていくの? アルツハイマー病者からみた世界, かもがわ出版. 2004. 13) 矢冨直美: 日本老人における老人用うつスケール (GDS) 短縮版の因子構造と項目妥当性の検討, 老年社会科学1994; 16 (1): 29-36. 8) Brod MB, Stewart AL, Sands L, Walton P: Conceptualization and measurement of quality of life instrument: the dementia quality of life instrument (DQoL). Gerontologist 1999; 39 (1): 25-35. 17) Rabins PV, Kasper JD: Measuring quality of life in dementia: conceptual and practical issues. Alzheimer Dis Assoc Disord 1997; 11 (S6): 100-104. 20) Brod M, Stewart AL, Sands L: Conceptualization of quality of life in dementia. Albert SM, Logsdon RG, ed, Assessing Quality of Life in Alzheimer's Disease, Springer Publishing Company, NY, 2000, p3-16. 1) 斉藤和子: 痴呆性老人のQOL. からだの科学 1996; 188: 47-50. 2) 中島紀恵子, 工藤貞子, 尾崎新, 芳賀博: デイケアにおける痴呆性老人に対する生活健康スケール作成の試み. 社会老年学 1992; 36: 39-49. 11) 小林敏子, 播口之朗, 西村健, 武田雅俊: 行動観察による痴呆患者の精神状態尺度 (NMスケール) および日常生活動作能力評価尺度 (N-ADLの作成), 臨床精神医学 1988; 17 (11): 1653-1668. 12) Sheikh JI, Yesavage JA: Geriatric Depression Scale (GDS), recent evidence and development of shorter version, Clinical Gerontology 1986; 56: 509-513. 7) 竹内志保美, 鈴木みずえ, 矢冨直美, 福岡欣治, 大山直美: 痴呆専門外来患者の家族の介護と痴呆の受容. 老年精神医学雑誌 2004; 15(5): 527-537. 19) Yamamato-Miatani N, Abe T, Okita Y, Hayashi K, Sugichita C, Katayama K: The impact of subjects/respondent characteristics on a proxy-rated quality of life instrument for the Japanese elderly with dementia, Quality of life Research 2004; 13: 845-855. 18) Logsdon RG, Gibbons LE, McCurry SM, Teri L: Assessing Quality of life in older Adults with impairment. Psychometric Medicne 2002; 64: 510-519. 15) Logsdon RG, Teri L: The Pleasant Events Schedule-AD: psychometric properties and relationship to depression and cognition in Alzheimer's disease patients., Gerontologist 1997; 37 (1): 40-45. 9) Folstein MF, Folstein SE, McHugh PR: Mini-mental State; Practical method for grading the cognitive state for the clinician, Journal of Psychiatric Research 1975; 12: 189-198. 22) 黒田重利: 痴呆性高齢者のQOL評価に関する総合研究, 要介護高齢者等のQOL評価に関する総合的研究 平成10年度岡山県老人保健強化推進事業 平成10年度報告, 1998, p97-114. 3) 阿部俊子, 山本則子, 鎌田ケイ子, 山田ゆかり: 痴呆性老人の生活の質尺度 (AD-HRQ-J) の開発. 老年精神医学雑誌 1998; 9 (12): 1489-1499. 16) Lawton MP, Van Haitsma K, Klapper J: Observed affect in nursing home residents with Alzheimer's disease. Gerontol B Psychol Sci Soc Sci 1996; 51 (1): 3-14. 10) 西村健, 福永知子: N式精神機能検査 (Nisimura Dementia Scale), 高齢者のための知的機能検査の手引き, ワールドプランニング, 東京, 2004, p27-38. 21) Coucill W, Bryan S, Bentham P, Buckley A, Laight A: EQ-5D in patients with dementia: an investigation of inter-rater agreement, Medical Care 2001; 39 (8): 760-771. |
| References_xml | – reference: 20) Brod M, Stewart AL, Sands L: Conceptualization of quality of life in dementia. Albert SM, Logsdon RG, ed, Assessing Quality of Life in Alzheimer's Disease, Springer Publishing Company, NY, 2000, p3-16. – reference: 12) Sheikh JI, Yesavage JA: Geriatric Depression Scale (GDS), recent evidence and development of shorter version, Clinical Gerontology 1986; 56: 509-513. – reference: 1) 斉藤和子: 痴呆性老人のQOL. からだの科学 1996; 188: 47-50. – reference: 16) Lawton MP, Van Haitsma K, Klapper J: Observed affect in nursing home residents with Alzheimer's disease. Gerontol B Psychol Sci Soc Sci 1996; 51 (1): 3-14. – reference: 10) 西村健, 福永知子: N式精神機能検査 (Nisimura Dementia Scale), 高齢者のための知的機能検査の手引き, ワールドプランニング, 東京, 2004, p27-38. – reference: 15) Logsdon RG, Teri L: The Pleasant Events Schedule-AD: psychometric properties and relationship to depression and cognition in Alzheimer's disease patients., Gerontologist 1997; 37 (1): 40-45. – reference: 4) Whitehouse PJ, Orgogozo JM, Becker RE, Gauthier S, Pontecorvo M, Erzigkeit H, et al.: Quality-of-life assessment in dementia drug development. Position paper from the International Working Group on Harmonization of Dementia Drug Guidelines. Alzheimer Dis Assoc Disord 1997: 11 (S39): 56-60. – reference: 5) 篠崎人理, 高橋誠一: バリデーションへの誘い, 訪問看護と介護 2002; 7 (5): 368-373. – reference: 11) 小林敏子, 播口之朗, 西村健, 武田雅俊: 行動観察による痴呆患者の精神状態尺度 (NMスケール) および日常生活動作能力評価尺度 (N-ADLの作成), 臨床精神医学 1988; 17 (11): 1653-1668. – reference: 9) Folstein MF, Folstein SE, McHugh PR: Mini-mental State; Practical method for grading the cognitive state for the clinician, Journal of Psychiatric Research 1975; 12: 189-198. – reference: 22) 黒田重利: 痴呆性高齢者のQOL評価に関する総合研究, 要介護高齢者等のQOL評価に関する総合的研究 平成10年度岡山県老人保健強化推進事業 平成10年度報告, 1998, p97-114. – reference: 6) Boden C: 画垣陽子訳, 私は誰になっていくの? アルツハイマー病者からみた世界, かもがわ出版. 2004. – reference: 14) Lawton MP: Quality of Life in Alzheimer's Disease. Alzheimer's Disease Associated Disorder 1994; 8 (S.3): 138-150. – reference: 21) Coucill W, Bryan S, Bentham P, Buckley A, Laight A: EQ-5D in patients with dementia: an investigation of inter-rater agreement, Medical Care 2001; 39 (8): 760-771. – reference: 3) 阿部俊子, 山本則子, 鎌田ケイ子, 山田ゆかり: 痴呆性老人の生活の質尺度 (AD-HRQ-J) の開発. 老年精神医学雑誌 1998; 9 (12): 1489-1499. – reference: 17) Rabins PV, Kasper JD: Measuring quality of life in dementia: conceptual and practical issues. Alzheimer Dis Assoc Disord 1997; 11 (S6): 100-104. – reference: 23) Hall GR, Buckwalter CB: Progressively lowered stress threshold: A conceptual model for care adults with Alzheimer's disease, Achieves of Psychiatric Nursing 1957; 1 (6): 399-406. – reference: 8) Brod MB, Stewart AL, Sands L, Walton P: Conceptualization and measurement of quality of life instrument: the dementia quality of life instrument (DQoL). Gerontologist 1999; 39 (1): 25-35. – reference: 19) Yamamato-Miatani N, Abe T, Okita Y, Hayashi K, Sugichita C, Katayama K: The impact of subjects/respondent characteristics on a proxy-rated quality of life instrument for the Japanese elderly with dementia, Quality of life Research 2004; 13: 845-855. – reference: 2) 中島紀恵子, 工藤貞子, 尾崎新, 芳賀博: デイケアにおける痴呆性老人に対する生活健康スケール作成の試み. 社会老年学 1992; 36: 39-49. – reference: 13) 矢冨直美: 日本老人における老人用うつスケール (GDS) 短縮版の因子構造と項目妥当性の検討, 老年社会科学1994; 16 (1): 29-36. – reference: 18) Logsdon RG, Gibbons LE, McCurry SM, Teri L: Assessing Quality of life in older Adults with impairment. Psychometric Medicne 2002; 64: 510-519. – reference: 7) 竹内志保美, 鈴木みずえ, 矢冨直美, 福岡欣治, 大山直美: 痴呆専門外来患者の家族の介護と痴呆の受容. 老年精神医学雑誌 2004; 15(5): 527-537. |
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| Title | Development of the dementia quality of life instrument-Japanese version |
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