2019年9月6日 星期五

[研究] Multifactorial Memory Questionnaire (MMQ)之優點彙整


MMQ之優點依據過去文獻大致可分為五大方向及一綜合描述:

一、   面向獨特性:
1.         Some aspects of meta-memory are not addressed at all in the existing questionnaires; for example, although there are subscales assessing anxiety about memory (e.g., Dixon et al., 1988), there are no scales assessing other common emotional reactions to memory, such as frustration, irritation, unhappiness, or pleasure [1].
2.         The Contentment scale of the MMQ includes items pertaining to aspects of memory related affect, which are not typically included in existing questionnaires [1, 3].
3.         The MMQ includes items pertaining to aspects of memory-related affects, not typically included in existing questionnaires [1].
4.       The MMQ distinguishes between the report of memory failures and worries or discontentment with one’s memory function, it would also be interesting to test whether some of the patients might be characterized by dissociations between these two subscales, e.g., reporting lots of memory worries and discontentment (MMQ contentment) in combination with a normal report of daily memory failures (MMQ ability). Demonstrating such a discrepancy could be of direct therapeutic value [4].
5.         The MMQ Contentment scale was selected in particular because of the high correspondence between content areas included on the scale that measure memory satisfaction (i.e., normative comparisons, emotional reactions, and memory self-efficacy) and components of the psychoeducational intervention (i.e., patient education about cognitive function, management of distress over CRCD symptoms, and provision of cognitive strategies) [5].


二、   多面向(multidimensionality):

          1. Comprehensive measures (i.e. including aspects of subjective memory capacity and memory-related anxiety, etc.) were preferred over measures assessing only a single aspect of subjective memory (e.g.,‘memory decline   index’) [2].

三、   臨床相關/適用性(clinical relevance):
1.  Additional items pertaining to contentment with one’s memory, which is relevant to clinical intervention, are not included in current measures [1].
2. Some of these questionnaires were developed primarily for research use, the items included do not necessarily reflect aspects of memory that are amenable to clinical memory intervention. For example, items concerning self-evaluation of past memory ability and those involving memory for very remote events would not reflect typical targets of clinical interventions [1, 3].
3.  Clinical interventions tend to focus on problems with recent memory (e.g., remembering new names) and on strategies relevant to everyday life (e.g., repetition, written aids) [1].
4.  Several such self-report questionnaires have been developed but some of them only assess frequency of forgetting and memory abilities in everyday life (e.g., Inventory of Memory Experiences), whereas others primarily focus on self-evaluation of past memory and do not explore recent memories or strategies relevant to everyday life, which are among possible targets of clinical intervention [1, 6].

四、   題目設計合適性:
1. Several of the questionnaires include items that are not applicable to some individuals, such as public speaking, reading novels, driving, or working. It can be difficult to interpret the results of a questionnaire when not all items are answered [1, 7].

五、   題目數量:
1.   Some questionnaires, such as the MIA, contain a very large number of items and are time consuming. The considerable amount of time required to complete such a questionnaire could adversely affect compliance, especially in older or cognitively impaired individuals [1].
2.  Comprehensive questionnaires, assessing different aspects of meta-memory, are often very time consuming (e.g., Meta-memory in Adulthood, MIA) [3, 6].

六、   整體性評論:
1.  The MMQ is an improvement over other memory self-report instruments because it encompasses a number of features in combination (i.e., multidimensionality, clinical relevance, brevity, and ease of administration) that are found only partially in any single existing questionnaire [1].
2.  The MMQ can be considered an improvement over other memory self-report instruments because it embodies a number of features in combination: multidimensionality, clinical relevance, brevity and ease of administration. Moreover, the questionnaire includes items pertaining to aspects of memory-related affects, not typically included in existing questionnaires [3].


 Reference: 
 1.  Troyer AK, Rich JB: Psychometric properties of a new metamemory questionnaire for older adults. J Gerontol B Psychol Sci Soc Sci 2002, 57(1):P19-27.
 2.  Metternich B, Kosch D, Kriston L, Harter M, Hull M: The effects of nonpharmacological interventions on subjective memory complaints: a systematic review and meta-analysis. Psychotherapy and psychosomatics 2010, 79(1):6-19.
3.  Simon SS, Avila RT, Vieira G, Bottino CMC: Metamemory and aging: Psychometric properties of the Brazilian version of the Multifactorial Memory Questionnaire for elderly. Dement Neuropsychol 2016, 10(2):113-126.
 4.  van der Werf SP, Vos SH: Memory worries and self-reported daily forgetfulness: a psychometric evaluation of the Dutch translation of the Multifactorial Memory Questionnaire. Clin Neuropsychol 2011, 25(2):244-268.
 5.  Bernstein LJ, McCreath GA, Nyhof-Young J, Dissanayake D, Rich JB: A brief psychoeducational intervention improves memory contentment in breast cancer survivors with cognitive concerns: results of a single-arm prospective study. Support Care Cancer 2018, 26(8):2851-2859.
 6.  Raimo S, Trojano L, Siciliano M, Cuoco S, D'Iorio A, Santangelo F, Abbamonte L, Grossi D, Santangelo G: Psychometric properties of the Italian version of the multifactorial memory questionnaire for adults and the elderly. Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology 2016, 37(5):681-691.
7.  Riffo B, Reyes F, Veliz M: Psychometric properties of multifactorial memory questionnaire in Chilean adult population. Terapia Psicologica 2013, 31(2):227-237.


2019年9月3日 星期二

[紀錄] 20190903 定期討論紀錄


[關於MMQ文章撰寫]
□   將先前文章對MMQ優點Highligh,整理至blog
□   MMQ其他段落也需一併討論
□    提前傳MMQ撰寫文章


[關於醫病溝通介入措施]
□   統整近10年文章 (2009-2019年)
□   Communcation table-revised
  1. Intervention:content與method兩者定義模糊,需再釐清
  2. CST element:element此詞彙範圍太廣,整理分類時難以統一,需再調整呈現方式
  3. Theoretical background (理論背景)
  4. Trainer qualification (訓練師資格)
  5. Outcomes:包含指標、評估工具與結果,可再分為 immediated和follow-up effect

[關於SMI評估工具之回顧]
□   討論章節之主要結果與討論,需與目的呼應。
□   先將主要結果與討論完成後,再補充其他議題。
□   於月底前完成大致初稿,前後文內容須一致。

[討論] 20190903 議題


Q1.  [關於MMQ文章撰寫]:前言MMQ優點鋪成
Q2.  [醫病溝通介入措施] 紅色欄位為與先前回顧文章不同之處 [初篩 N=38]


Communication skill training (CST) [limitation: randomized controlled trial ] 

Q3. [關於SMI評估工具之回顧]:
Q3-1. 討論段落主旨擬訂方向是否適切
1.    主要結果
第一階段:常用工具,可探討議題:使用自擬或單題題目去測量(使用趨勢) à標準化/非標準化(作者自擬)
第二階段:心理計量特性比較 (三族群差異)à僅有Older adults之心理計量特性
2.    臨床適用性:中文版
3.    其他可探討議題:自我報告+資訊者提供Self-Reports and Informant-Ratings Measure [已找到相關描述比較文章]
4.    未來研究建議
5.    研究限制
Q3-2.  搜尋結果中,九個評估工具中其中一個量表有找到中文版本驗證文章,是否有需要進一步去將「中文版」與「原始版本」做比較(如題目、內容是否一致或有做過修改),例如:針對其翻譯、可讀性、用字詞彙、答題方式難易度等描述與檢核。
Q3-3.  關於第二階段SMI心理計量特性統整表格,有些量表驗證對象年齡層較廣(如20-80歲)。(1)若有目標樣本(65歲以上)獨立資訊,須超過總比例多少才適合納入? 或是以人數決定? (舉例PRMQ Japanese) ;(2)若涵蓋樣本年齡為50-90歲 (舉例PRMQ Taiwanese),無65歲以上獨立樣本,那是否要納入?
Q3-4.  「語言」是否要納入排除條件??? 因為其可使用線上翻譯解決,但相對耗時。



2019年9月2日 星期一

[紀錄] 自覺記憶評估工具寫作紀錄


** 待依以下列點事項一一檢視是否完成修改 **

文章內容擬修正之處[持續更新]
  1. 排除條件:納入樣本65歲以上須達%,且須有獨立分析數據結果。
  2. 思考「語言」是否要納入排除條件???
  3. 補上各階段檢索日期:第一階段2019/06/24;第二階段2019/08/07
  4. 可在內文中說明會透過相關主題文章所附註的參考文獻列表,進一步搜尋符和本研究納入條件的文章,增加完整性。
  5. 針對第二階段最終納入條件,可限定「研究目的」為目標評估工具之心理計量特性驗證之文章,排除以「間接檢視」方法之文章(如相關性研究)。
  6. 結果中可呈現一句作者自擬的趨勢,然後在討論章節中去描述。
  7. 於第二階段帶出第一階段70篇研究中,常用族群為正常老人、SMI及MCI。
  8. 樣本依賴性:切割次數10次

評估工具之介紹
  1. 原版評估工具與不同版本評估工具皆宜以「獨立工具」作介紹,以利讀者易懂。
  2. 針對不同版本評估工具之介紹時,可描述與原版評估工具之「異同」。
  3. 評估工具之介紹不宜使用「因素結構」,此詞彙為心理計量特性所用;評估工具之介紹若為單一總分則可使用「評估內容包含….」;若為多個分測驗(可獨立計分)則可使用「次量表….」加以描述。

評估工具之心理計量特性
  1. 統整各評估工具之心理計量特性相關數值時宜先有明確數值,最後統整時在以範圍為說明之。
  2. 宜以驗證之對象區分評估工具之心理計量特性

臨床適用性
  1. 臨床適用性的描述可針對「被評估者」與「評分者」去做構想,如:常模、手冊、面向、題數、時間等。
  2. 因本研究為中文文章,以「使用者角度」而言,搜尋評估工具是否有中文版是必要的。另可將「中文版」與「原始版本」做比較(如題目、內容是否一致或有做過修改),針對其翻譯、可讀性、用字詞彙、答題方式難易度等描述與檢核。


討論段落主旨擬訂
  1.主要結果
第一階段:常用工具
  *使用自擬或單題題目去測量 (使用趨勢) 標準化/非標準化(作者自擬)
第二階段:心理計量特性比較 (三族群差異)
  2.臨床適用性:中文版
  3.其他議題:自我報告+資訊者提供 Self-Reports and Informant-Ratings Measure
  4.未來研究建議
  5.研究限制






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