Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-22T19:31:52.910Z Has data issue: false hasContentIssue false
  • English
  • Français

A biopsychosocial vignette for case conceptualization in dementia (VIG-Dem): development and pilot study

Published online by Cambridge University Press:  07 April 2016

Aimee Spector ,
Molly Hebditch ,
Charlotte R. Stoner  and
Luke Gibbor
Aimee Spector*
Affiliation:
Department of Clinical, Educational and Health Psychology, University College London, 1–19 Torrington Place, London WC1E 7HB, UK
Molly Hebditch
Affiliation:
Faculty of Health and Medical Sciences, Duke of Kent Building, University of Surrey, Guildford, Surrey, GU2 7XH, UK
Charlotte R. Stoner
Affiliation:
Department of Clinical, Educational and Health Psychology, University College London, 1–19 Torrington Place, London WC1E 7HB, UK
Luke Gibbor
Affiliation:
Clinical Trials Facility, Cognitive Impairment and Dementia Service, Lakeside Mental Health Unit, West Middlesex Hospital Site, Twickenham Road, Isleworth, TW7 6AF, UK
*
Correspondence should be addressed to: Dr Aimee Spector, Department of Clinical, Educational and Health Psychology, University College London, 1–19 Torrington Place, London WC1E 7HB, UK. Phone: +0207-679-1844. Email: [email protected].
Get access

Abstract

Background:

The ability to identify biological, social, and psychological issues for people with dementia is an important skill for healthcare professionals. Therefore, valid and reliable measures are needed to assess this ability. This study involves the development of a vignette style measure to capture the extent to which health professionals use “Biopsychosocial” thinking in dementia care (VIG-Dem), based on the framework of the model developed by Spector and Orrell (2010).

Methods:

The development process consisted of Phase 1: Developing and refining the vignettes; Phase 2: Field testing (N = 9), and Phase 3: A pilot study to assess reliability and validity (N = 131).

Results:

The VIG-Dem, consisting of two vignettes with open-ended questions and a standardized scoring scheme, was developed. Evidence for the good inter-rater reliability, convergent validity, and test–retest reliability were established.

Conclusions:

The VIG-Dem has good psychometric properties and may provide a useful tool in dementia care research and practice.

Keywords

vignettebiopsychosocialdementiareliabilityvaliditymeasureoutcome
Type
Research Article
Information
International Psychogeriatrics , Volume 28 , Issue 9 , September 2016 , pp. 1471 - 1480
Copyright
Copyright © International Psychogeriatric Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbas, M., Walton, R., Johnston, A. and Chikoore, M. (2012). Evaluation of teaching an integrated case formulation approach on the quality of case formulations: randomised controlled trial. Psychiatric Bulletin, 36, 140–145.Google Scholar
Barter, C. and Renold, E. (1999). The use of vignettes in qualitative research. Social Research Update, 25, 1–6.Google Scholar
Downs, M., Clare, L. and Anderson, E. (2008). Dementia as a biopsychosocial condition: implications for practice and research. In Woods, R. and Clare, L. (eds.), Handbook of the Clinical Psychology of Ageing, 2nd edn. (pp. 145–160). Chichester: Wiley.Google Scholar
Dudley, R., Park, I., James, I. A. and Dodgson, G. (2010). Rate of agreement between clinicians on the content of a cognitive formulation of delusional beliefs: the effect of qualifications and experience. Behavioural and Cognitive Psychotherapy, 38, 185–200.Google Scholar
Hughes, R. and Huby, M. (2002). The application of vignettes in social and nursing research. Journal of Advanced Nursing, 37, 382–86.Google Scholar
Kitchener, B. A. and Jorm, A. F. (2002). Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behaviour. BioMed Central Psychiatry, 2, 10.CrossRefGoogle Scholar
Kitwood, T. (1990). The dialectics of dementia: with particular reference to Alzheimer's disease. Ageing and Society, 10, 177–196.Google Scholar
Lapatin, S. et al. (2012). Lessons from the use of vignettes in the study of mental health service disparities. Health Services Research, 47, 1345–1362.Google Scholar
Lintern, T., Woods, B. and Phair, L. (2000). Before and after training: a case study of intervention. Journal of Dementia Care, 8, 15–17.Google Scholar
Lyman, K. A. (1989). Bringing the social back in: a critique of the biomedicalization of dementia. Gerontologist, 29, 597–605.Google Scholar
McClain, T., O'Sullivan, P. S. and Clardy, J. A. (2004). Biopsychosocial formulation: recognizing educational shortcomings. Academic Psychiatry; 28, 88–94.CrossRefGoogle ScholarPubMed
Orrell, M. and Hancock, G. A. (2004). The Camberwell Assessment of Need for the Elderly (CANE). London: Gaskell.Google Scholar
Peabody, J. W., Luck, J., Glassman, P., Dresselhaus, T. R. and Lee, M. (2000). Comparison of vignettes, standardized patients, and chart abstraction. Journal of the American Medical Association, 283, 1715–1722.CrossRefGoogle ScholarPubMed
Qualtrics. (2001). Qualtrics (Version 47059). [Software]. Provo, UT: Qualtrics. Available at: http://www.qualtrics.com; last accessed 22 March 2016.Google Scholar
Shanahan, N., Orrell, M., Schepers, A. K. and Spector, A. (2013). The development and evaluation of the DK-20: a knowledge of dementia measure. International Psychogeriatrics, 25, 1–9.CrossRefGoogle ScholarPubMed
Spector, A. and Orrell, M. (2010). Using a biopsychosocial model of dementia as a tool to guide clinical practice. International Psychogeriatrics, 22, 957–965.Google Scholar
Spector, A., Orrell, M., Schepers, A. and Shanahan, N. (2012). A systematic review of “knowledge of dementia” outcome measures. Ageing Research Reviews, 11, 67–77.Google Scholar
Zimmerman, S. et al. (2005). Attitudes, stress, and satisfaction of staff who care for residents with dementia. Gerontologist, 45, 96–105.Google Scholar