title: Development of the implanted devices adjustment scale.
abstract: Advances in microelectronics have resulted in exponential growth in the number of implanted medical devices. Most people do well adjusting to their devices, but others show signs of depression and/or anxiety. The Implanted Device Adjustment Scale (IDAS) was developed to measure how well a person is adjusting to an implanted device. First, a pool of items was generated and reviewed by 2 panels of clinicians and psychometricians for content validity. The revised version was then administered to a small sample that provided information about problematic items. Finally, a convenience sample of 45 persons (66% males) with implanted devices (18 pacemakers only, 37 cardioverter/defibrillators) completed the revised IDAS twice. After deleting weak items, the Cronbach alpha was 0.90. No age, gender, or device differences were found. Test-retest reliability was 0.92. The IDAS may be useful to evaluate how well a person is adjusting to her/his device. This may lead to more timely and appropriate interventions to improve outcomes.
authors.affiliation: University of Cincinnati-College of Nursing, Cincinnati, OH 45221-0038, USA. Theresa.beery@uc.edu
authors.forename: Theresa A
authors.initials: TA
authors.lastname: Beery
authors.forename: Linda S
authors.initials: LS
authors.lastname: Baas
authors.forename: Helga
authors.initials: H
authors.lastname: Matthews
authors.forename: Jefferson
authors.initials: J
authors.lastname: Burroughs
authors.forename: Richard
authors.initials: R
authors.lastname: Henthorn
mesh_terms: D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000175:diagnosis*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017147:Defibrillators, Implantable / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000523:psychology; D019736:Prostheses and Implants / Q000523:psychology*; D011581:Psychological Tests; D011594:Psychometrics; D015203:Reproducibility of Results; D014481:United States