Development and Evaluation of the Thai Spiritual Well-Being Assessment Tool for Elders with a Chronic Illness.
Abstract: Spiritual well-being plays a crucial role in one's perception of health and illness. Due to their vulnerable health, physical changes and deterioration, the elderly are at risk of encountering health problems, including chronic illnesses. Thus, Thai health care providers are especially int...
| Publicado en: | Pacific Rim International Journal of Nursing Research Vol. 16; no. 1; pp. 13 - 29 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Thailand Nursing & Midwifery Council
Jan-Mar2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=74653194&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 74653194 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 19068107 B7IM jtl: Pacific Rim International Journal of Nursing Research issn: 19068107 maglogo: N pubinfo: dt: Jan-Mar2012 vid: 16 iid: 1 pid: 26313 pub: Thailand Nursing & Midwifery Council artinfo: ui: 74653194 74653194 104560139 74653194 ppf: 13 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Development and Evaluation of the Thai Spiritual Well-Being Assessment Tool for Elders with a Chronic Illness. aug: au: Unsanit, Pennapa Sunsern, Rachanee Kunsongkeit, Wanlapa O'Brien, Mary Elizabeth McMullen, Patricia C. affil: Burapha University, Chonburi, Thailand 20131 sug: subj: Instrument Construction Instrument Validation Spirituality In Old Age Chronic Disease In Old Age Clinical Assessment Tools Geriatric Assessment Human Funding Source Scales Validation Studies Qualitative Studies Quantitative Studies Focus Groups Semi-Structured Interview Construct Validity Factor Analysis Coefficient alpha Chi Square Test Purposive Sample Thailand Random Sample Male Female Middle Age Aged Descriptive Statistics Educational Status Marital Status Interview Guides Pearson's Correlation Coefficient Attitude to Illness Personal Satisfaction Optimism Interpersonal Relations Coping Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Abstract: Spiritual well-being plays a crucial role in one's perception of health and illness. Due to their vulnerable health, physical changes and deterioration, the elderly are at risk of encountering health problems, including chronic illnesses. Thus, Thai health care providers are especially interested in how the elderly maintain and promote their health through their sense of spiritual well-being. An enhanced sense of spiritual well-being has been found to play an important role in helping elderly with chronic illnesses deal with the health care issues they face on a daily basis. Although spiritual well-being has been defined, based on one's personal experiences, culture and context, little is known about the concept and no known instrument exists to measure it within the context of the Thai culture. The lack of an appropriate assessment tool for measuring spiritual well-being, within the Thai context, continues to make it difficult for health care providers, throughout Thailand, to measure and appropriately intervene with chronically ill elders in regards to their spiritual well-being. Therefore, the purposes of this study were to: develop the Thai Spiritual Well-being Assessment Tool for Elders with Chronic Illnesses (TSWBATECI); and, assess the tool's psychometric properties. The study design used qualitative and quantitative approaches to gather data. Qualitative data were obtained via review of the literature and three focus groups or individual interviews with 27 elders with chronic illnesses, who declared to be of a Buddhist, Islamic or Christian faith. From content analysis of the qualitative data, the TSWBATECI was developed. Content validity of the tool was examined by seven experts in spiritual development, comparative religion and spirituality in nursing and resulted in minor revisions of the items' wording. Following the content validity assessment, the instrument was given to 10 chronically ill elders who made suggestions on further item refinement so as to improve the tool's clarity and readability. The revised tool then was pilot tested on 90 chronically ill elders, from the three faiths, for the purpose of determining what items should be retained or deleted. Next, the instrument was administered to 600 chronically ill elders, who were of one of the three religious faiths, to test its reliability and construct validity via exploratory factor analysis. The outcome resulted in the tool being revised again, with the final version consisting of 41-items. Finally, the reliability and construct validity of the 41-item tool was tested, using secondorder confirmatory factor analysis, on 2160 chronically ill elders, who were of the three religious faiths. The final version of the instrument was found to account for 81.90% of the total explained variance. The content validity index of the tool was determined to be 0.82 to 0.95, and its' Cronbach's alpha coefficient was found to be 0.97. The instrument could be accurately described as having a goodness of fit ( X2 = 821.09, df = 747, X2 /df = 1.10, GFI = .96, RMSEA = .03, SRMR = .07). Thus, the Thai Spiritual Well-being Assessment Tool for Elders with Chronic Illnesses appeared to be a valid and reliable instrument for assessing spiritual well-being of elderly Thais with chronic illnesses. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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