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Wang X, Sun Z, Xiong L, Semrau M, He J, Li Y, Zhu J, Zhang N, Wang A, Jiang Q, Mu N, Zhao Y, Chen W, Wu D, Zheng Z, Sun Y, Zhang J, Xu J, Meng X, Zhao M, Zhang H, Lv X, Sartorius N, Li T, Yu X, Wang H. Reliability and validity of the international dementia alliance schedule for the assessment and staging of care in China. BMC Psychiatry 2017; 17:371. [PMID: 29162035 PMCID: PMC5697421 DOI: 10.1186/s12888-017-1544-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 11/14/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND 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. METHODS 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. RESULTS 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). CONCLUSION The IDEAL schedule is a valid and reliable tool for the staging of care for dementia in the Chinese population.
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Affiliation(s)
- Xiao Wang
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Zhenghai Sun
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China ,0000 0004 1808 3289grid.412613.3School of Psychiatry, Qiqihar Medical University, Qiqihar, 161006 China
| | - Lingchuan Xiong
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Maya Semrau
- 0000 0001 2322 6764grid.13097.3cHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK
| | - Jianhua He
- 0000 0004 1761 5917grid.411606.4Department of Psychiatry of Beijing Anzhen Hospital Affiliated to Capital Medical University, Beijing, 100029 China
| | - Yang Li
- 0000 0004 1762 8478grid.452461.0Department of Neurology, The First Hospital of Shanxi Medical University, Taiyuan, 030001 China
| | - Jianzhong Zhu
- Wuxi Mental Health Center of Nanjing Medical University, Wuxi, 214151 China
| | - Nan Zhang
- 0000 0004 1757 9434grid.412645.0Department of Neurology, Tianjin Medical University General Hospital, Tianjin Neurological Institute, Tianjin, 300052 China
| | - Aimin Wang
- Department of Neurology, The First Hospital of Changsha, Changsha, 410005 China
| | - Qinpu Jiang
- grid.452427.2Department of Geriatric Psychiatry, Hebei Mental Health Center, Baoding, 071000 China
| | - Nan Mu
- 0000 0000 8653 1072grid.410737.6Department of Geriatric Psychiatry, Brain Hospital Affiliated to Guangzhou Medical University, Guangzhou, 510170 China
| | - Yuping Zhao
- grid.452754.5Department of Geriatric Psychiatry, Shandong Mental Health Center, Jinan, 250014 China
| | - Wei Chen
- 0000 0004 1759 700Xgrid.13402.34Department of Psychiatry, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, and the Collaborative Innovation Center for Brain Science, Hangzhou, 310016 China
| | - Donghui Wu
- Department of Geriatric Psychiatry, Shenzhen Mental Health Center, Shenzhen, China
| | - Zhanjie Zheng
- grid.452792.fDepartment of Geriatric Psychiatry, Qingdao Mental Health Center, Qingdao, 266034 China
| | - Yongan Sun
- 0000 0004 1764 1621grid.411472.5Department of Neurology, Peking University First Hospital, Beijing, 100034 China
| | - Jing Zhang
- Department of Neurology, Beijing Tsinghua Changgung Hospital, Beijing, 102218 China
| | - Jun Xu
- grid.268415.cDepartment of Neurology, Brain Centre, Northern Jiangsu Province Hospital, Affiliated to Yangzhou University, Yangzhou, 225001 China
| | - Xue Meng
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Mei Zhao
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Haifeng Zhang
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Xiaozhen Lv
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
| | - Tao Li
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Xin Yu
- 0000 0001 2256 9319grid.11135.37Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191 China ,0000 0004 1769 3691grid.453135.5Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191 China ,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191 China ,0000 0004 1798 0615grid.459847.3National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191 China
| | - Huali Wang
- Dementia Care & Research Center, Peking University Institute of Mental Health, No.51 Huayuanbei Road, Haidian District, Beijing, 100191, China. .,Key Laboratory for Mental Health, Ministry of Health (Peking University), Beijing, 100191, China. .,Beijing Municipal Key Laboratory for Translational Research on Diagnosis and Treatment of Dementia, Beijing, 100191, China. .,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
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