Measuring depression in deaf adults : Adaptation and validation of the Patient Health Questionnaire 9 (PHQ-9) for Auslan users
- Authors: Lake, Shane
- Date: 2018
- Type: Text , Thesis , Masters
- Full Text:
- Description: There is limited research into the prevalence of depression in the deaf population. Results are inconsistent and research has been hampered by the use of measures not specifically designed for individuals who are deaf. Deaf adults, who use Australian sign language (Auslan) to communicate, may not have the spoken and written language skills in English that are required to understand standard psychological measures. The aim of this research was to adapt and validate a measure of depression, the 9 item Patient Health Questionnaire (PHQ-9), for deaf Auslan users. Following established guidelines, an Auslan version of the PHQ-9, that was conceptually equivalent to the original measure, was produced. A community sample of 34 deaf adults, who use Auslan to communicate, and 278 hearing adults, were recruited from the Australian population. Deaf participants completed an Auslan online survey that included the Auslan version of the PHQ-9 and a previously adapted measure, an Auslan version of the Depression Anxiety Stress Scales-21 (DASS-21-Auslan). Hearing participants completed a written English version of the online survey. The Auslan version of the PHQ-9 demonstrated good internal reliability. Concurrent validity was established using the DASS-21-Auslan, with significant correlations found between the two measures. Principal components analysis identified a single factor structure for the Auslan PHQ-9. Differential item functioning was examined using a parametric technique (ordinal logistic regression) and a non-parametric kernel smoothing technique (TestGraf). No evidence of item bias was found. This research has provided promising results for an Auslan version of the PHQ-9 as a culturally appropriate measure for Auslan users. The Auslan PHQ-9 has the potential to provide mental health practitioners and researchers with a more accurate method of assessing and monitoring depression and depressive symptoms in deaf adults who are Auslan users.
- Description: Masters by Research
- Authors: Lake, Shane
- Date: 2018
- Type: Text , Thesis , Masters
- Full Text:
- Description: There is limited research into the prevalence of depression in the deaf population. Results are inconsistent and research has been hampered by the use of measures not specifically designed for individuals who are deaf. Deaf adults, who use Australian sign language (Auslan) to communicate, may not have the spoken and written language skills in English that are required to understand standard psychological measures. The aim of this research was to adapt and validate a measure of depression, the 9 item Patient Health Questionnaire (PHQ-9), for deaf Auslan users. Following established guidelines, an Auslan version of the PHQ-9, that was conceptually equivalent to the original measure, was produced. A community sample of 34 deaf adults, who use Auslan to communicate, and 278 hearing adults, were recruited from the Australian population. Deaf participants completed an Auslan online survey that included the Auslan version of the PHQ-9 and a previously adapted measure, an Auslan version of the Depression Anxiety Stress Scales-21 (DASS-21-Auslan). Hearing participants completed a written English version of the online survey. The Auslan version of the PHQ-9 demonstrated good internal reliability. Concurrent validity was established using the DASS-21-Auslan, with significant correlations found between the two measures. Principal components analysis identified a single factor structure for the Auslan PHQ-9. Differential item functioning was examined using a parametric technique (ordinal logistic regression) and a non-parametric kernel smoothing technique (TestGraf). No evidence of item bias was found. This research has provided promising results for an Auslan version of the PHQ-9 as a culturally appropriate measure for Auslan users. The Auslan PHQ-9 has the potential to provide mental health practitioners and researchers with a more accurate method of assessing and monitoring depression and depressive symptoms in deaf adults who are Auslan users.
- Description: Masters by Research
The effects of playing Nintendo Wii on depression, sense of belonging, social support, and mood among Australian aged care residents : A pilot study
- Authors: Chesler, Jessica
- Date: 2015
- Type: Text , Thesis , Masters
- Full Text:
- Description: Adults aged 65 years or older constitute the fastest growing age group worldwide, leading to greater numbers of people requiring care in residential facilities. Adults in these facilities have higher levels of depression, lower levels of social support, and lower levels of sense of belonging compared with older adults living in the community. Research has begun to assess the effectiveness of interventions aimed at improving the mental health of aged care residents. Within this population, cognitive and physical benefits of playing video games have been documented in the literature, as well as greater social interaction, and decreased loneliness. The aim of the current study was to investigate the effectiveness of playing Wii bowling twice weekly, with up to 3 other residents, for 6 weeks. An Australian sample of 31 women and 8 men between the ages of 65 and 95 years (Mean age = 85.68, SD = 9.62) were randomised to either a treatment or control group based on their place of residence. The residents completed demographic information, The Veterans Affairs Saint Louis University Mental Status Exam, the Geriatric Depression Scale Short Form, the Social Provisions Scale, and three visual analogue scales to measure sense of belonging and mood. These scales were completed pre-intervention (0 weeks), postintervention (6 weeks), and at 2-month follow up (14 weeks). Qualitative data on social interaction between group members was also collected at weeks 1, 3, and 6. Results did not support the use of the Wii to improve residents’ self-reported levels of depression, social support, sense of belonging, or mood. Social interaction increased over the 6 weeks, as measured by interaction analyses and also residents’ comments. Overall, findings indicate that Wii bowling may be a useful intervention as part of a comprehensive care program to increase social interaction within aged care. Pervasive environmental problems associated with aged care, as well as participant characteristics, may have reduced the effectiveness of the intervention program.
- Description: Master of Applied Science by Research (Psychology)
- Authors: Chesler, Jessica
- Date: 2015
- Type: Text , Thesis , Masters
- Full Text:
- Description: Adults aged 65 years or older constitute the fastest growing age group worldwide, leading to greater numbers of people requiring care in residential facilities. Adults in these facilities have higher levels of depression, lower levels of social support, and lower levels of sense of belonging compared with older adults living in the community. Research has begun to assess the effectiveness of interventions aimed at improving the mental health of aged care residents. Within this population, cognitive and physical benefits of playing video games have been documented in the literature, as well as greater social interaction, and decreased loneliness. The aim of the current study was to investigate the effectiveness of playing Wii bowling twice weekly, with up to 3 other residents, for 6 weeks. An Australian sample of 31 women and 8 men between the ages of 65 and 95 years (Mean age = 85.68, SD = 9.62) were randomised to either a treatment or control group based on their place of residence. The residents completed demographic information, The Veterans Affairs Saint Louis University Mental Status Exam, the Geriatric Depression Scale Short Form, the Social Provisions Scale, and three visual analogue scales to measure sense of belonging and mood. These scales were completed pre-intervention (0 weeks), postintervention (6 weeks), and at 2-month follow up (14 weeks). Qualitative data on social interaction between group members was also collected at weeks 1, 3, and 6. Results did not support the use of the Wii to improve residents’ self-reported levels of depression, social support, sense of belonging, or mood. Social interaction increased over the 6 weeks, as measured by interaction analyses and also residents’ comments. Overall, findings indicate that Wii bowling may be a useful intervention as part of a comprehensive care program to increase social interaction within aged care. Pervasive environmental problems associated with aged care, as well as participant characteristics, may have reduced the effectiveness of the intervention program.
- Description: Master of Applied Science by Research (Psychology)
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