2.50
Hdl Handle:
http://hdl.handle.net/10755/161627
Type:
Presentation
Title:
A Tool to Measure Adjustment to an Implanted Medical Device
Abstract:
A Tool to Measure Adjustment to an Implanted Medical Device
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Beery, Theresa
P.I. Institution Name:University of Cincinnati
Title:Assistant Professor
Contact Address:College of Nursing, 209 Procter Hall, PO Box 670038, Cincinnati, OH, 45267-0038, USA
Contact Telephone:513.558.5006
Currently there are nearly 25 million persons in the United States with implanted medical devices such as cardiac pacemakers or implanted cardioverter defibrillators. While most patients adapt well to having a device a subset of individuals appear to experience psychological difficulties. Little is known about the way that people adjust and adapt to having an internally placed device and how adjustment affects their health and long-term health outcomes. A psychometric instrument that can accurately measure a person's adjustment to an implanted device can assist in the identification of people who are not adjusting well so that appropriate interventions can be designed and targeted. A preliminary item pool was generated based on four proposed dimensions: attitudes toward the device, symptoms, body image, and device function. An expert panel reviewed the item pool and revisions were made based on a content validity index (CVI). The revised instrument was reviewed by a second panel consisting of clinical experts and psychmetricians and another CVI was calculated. The instrument was revised again and presented to a development sample of 10 patients with implanted devices to assess the clarity and understandability of the items. The final version of the instrument was tested with a pilot sample of 35 people with implanted cardiovascular devices. In addition to the Integration of Implanted Technology Scale and demographic information subjects were asked to complete a visual analogue scale (VAS), which served as a validation measure. One week following the administration of the scale a second copy was sent to each of the pilot sample members to evaluate test-retest reliability. A reliability coefficient was computed to reflect the stability of the scale. Testing of the instrument will continue with a larger sample consisting of 150 patients who will complete the ITIS, Profile of Mood States, the Human Activity Profile, and SF-36.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Tool to Measure Adjustment to an Implanted Medical Deviceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161627-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Tool to Measure Adjustment to an Implanted Medical Device</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Beery, Theresa</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 209 Procter Hall, PO Box 670038, Cincinnati, OH, 45267-0038, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513.558.5006</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">theresa.beery@uc.edu</td></tr><tr><td colspan="2" class="item-abstract">Currently there are nearly 25 million persons in the United States with implanted medical devices such as cardiac pacemakers or implanted cardioverter defibrillators. While most patients adapt well to having a device a subset of individuals appear to experience psychological difficulties. Little is known about the way that people adjust and adapt to having an internally placed device and how adjustment affects their health and long-term health outcomes. A psychometric instrument that can accurately measure a person's adjustment to an implanted device can assist in the identification of people who are not adjusting well so that appropriate interventions can be designed and targeted. A preliminary item pool was generated based on four proposed dimensions: attitudes toward the device, symptoms, body image, and device function. An expert panel reviewed the item pool and revisions were made based on a content validity index (CVI). The revised instrument was reviewed by a second panel consisting of clinical experts and psychmetricians and another CVI was calculated. The instrument was revised again and presented to a development sample of 10 patients with implanted devices to assess the clarity and understandability of the items. The final version of the instrument was tested with a pilot sample of 35 people with implanted cardiovascular devices. In addition to the Integration of Implanted Technology Scale and demographic information subjects were asked to complete a visual analogue scale (VAS), which served as a validation measure. One week following the administration of the scale a second copy was sent to each of the pilot sample members to evaluate test-retest reliability. A reliability coefficient was computed to reflect the stability of the scale. Testing of the instrument will continue with a larger sample consisting of 150 patients who will complete the ITIS, Profile of Mood States, the Human Activity Profile, and SF-36.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:30Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:30Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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