机构：[a]Peking University Institute of Mental Health, Dementia Care and Research Center, No.51 Huayuanbei Road, Beijing, Haidian District, 100191, China[b]Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191, China[c]Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191, China[d]National Clinical Research Center for Mental Disorders, Peking University Sixth Hospital, Beijing, 100191, China[e]School of Psychiatry, Qiqihar Medical University, Qiqihar, 161006, China[f]King's College London, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom[g]Department of Psychiatry of Beijing, Anzhen Hospital Affiliated to Capital Medical University, Beijing, 100029, China临床科室精神心理科首都医科大学附属安贞医院[h]The First Hospital of Shanxi Medical University, Department of Neurology, Taiyuan, 030001, China[i]Wuxi Mental Health Center of Nanjing Medical University, Wuxi, 214151, China[j]Tianjin Medical University General Hospital, Tianjin Neurological Institute, Department of Neurology, Tianjin, 300052, China[k]The First Hospital of Changsha, Department of Neurology, Changsha, 410005, China[l]Hebei Mental Health Center, Department of Geriatric Psychiatry, Baoding, 071000, China[m]Brain Hospital Affiliated to Guangzhou Medical University, Department of Geriatric Psychiatry, Guangzhou, 510170, China[n]Shandong Mental Health Center, Department of Geriatric Psychiatry, Jinan, 250014, China[o]Zhejiang University School of Medicine, The Collaborative Innovation Center for Brain Science, Department of Psychiatry, Sir Run Run Shaw Hospital, Hangzhou, 310016, China[p]Shenzhen Mental Health Center, Department of Geriatric Psychiatry, Shenzhen, China[q]Qingdao Mental Health Center, Department of Geriatric Psychiatry, Qingdao, 266034, China[r]Peking University First Hospital, Department of Neurology, Beijing, 100034, China[s]Beijing Tsinghua Changgung Hospital, Department of Neurology, Beijing, 102218, China[t]Affiliated to Yangzhou University, Department of Neurology, Brain Centre, Northern Jiangsu Province Hospital, Yangzhou, 225001, China内科系统神经内科江苏省人民医院[u]Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
Clinical and social services both are important for dementia care. The International Dementia Alliance (IDEAL) Schedule for the Assessment and Staging of Care was developed to guide clinical and social care for dementia. Our study aimed to assess the validity and reliability of the IDEAL schedule in China.
Two hundred eighty-two dementia patients and their caregivers were recruited from 15 hospitals in China. Each patient-caregiver dyad was assessed with the IDEAL schedule by a rater and an observer simultaneously. The Clinical Dementia Rating (CDR), Mini-Mental Status Examination (MMSE), and Caregiver Burden Inventory (CBI) were assessed for criterion validity. IDEAL repeated assessment was conducted 7-10 days after the initial interview for 62 dyads.
Two hundred seventy-seven patient-caregiver dyads completed the IDEAL assessment. Inter-rater reliability for the total score of the IDEAL schedule was 0.93 (95%CI = 0.92-0.95). The inter-class coefficient for the total score of IDEAL was 0.95 for the interviewers and 0.93 for the silent raters. The IDEAL total score correlated with the global CDR score (ρ = 0.72, p < 0.001), the CDR-sum of box (CDR-SOB, ρ = 0.74, p < 0.001), the total score of MMSE (ρ = -0.65, p < 0.001) and CBI (ρ = 0.70, p < 0.001). All item scores of the IDEAL schedule were associated with the CDR-SOB (ρ = 0.17 ~ 0.79, all p < 0.05).
The IDEAL schedule is a valid and reliable tool for the staging of care for dementia in the Chinese population.
基金：
This work was supported by the Beijing Municipal Science and Technology Commission (Z151100004015236) and the National Natural Science Foundation of China (71490732, 81500918). The funding sources did not play any role in the design and conduct of the study; collection, analysis, and interpretation of data; and preparation of the manuscript; or in the decision to submit the paper for publication.
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外文
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出版当年[2016]版：
大类|3 区医学
小类|4 区精神病学
最新[2025]版：
大类|2 区医学
小类|2 区精神病学
第一作者：
第一作者机构：[a]Peking University Institute of Mental Health, Dementia Care and Research Center, No.51 Huayuanbei Road, Beijing, Haidian District, 100191, China
推荐引用方式(GB/T 7714)：
Wang X,Sun Z,Xiong L,et al.Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China.[J].BMC psychiatry.2017,17(1):371.doi:10.1186/s12888-017-1544-3.
APA：
Wang, X,Sun, Z,Xiong, L,Semrau, M,He, J...&Wang, H.(2017).Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China..BMC psychiatry,17,(1)
MLA：
Wang, X,et al."Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China.".BMC psychiatry 17..1(2017):371
