AI Article Synopsis
- Apathy is a common issue in individuals with dementia, characterized by unresponsiveness to their surroundings.
- The study utilized the Person-Environment Apathy Rating (PEAR) scale, which has separate subscales for measuring apathy and environmental stimulation, to assess its effectiveness in long-term care settings.
- Observations of 15 residents were made with two raters evaluating apathy levels and environmental conditions, resulting in moderate to strong interrater reliability for the PEAR scale, confirming its usefulness in this context.
Article Abstract
Apathy is prevalent in individuals with dementia. Lack of responsiveness to environmental stimulation is a key characteristic of apathy. The Person-Environment Apathy Rating (PEAR) scale consists of environment and apathy subscales, which allow for examination of environmental impact on apathy. The interrater reliability of the PEAR scale was examined via real-time observation. The current study included 45 observations of 15 long-term care residents with dementia. Each participant was observed at three time points for 10 minutes each. Two raters observed the participant and surrounding environment and independently rated the participant's apathy and environmental stimulation using the PEAR scale. Weighted Kappa was 0.5 to 0.82 for the PEAR-Environment subscale and 0.5 to 0.8 for the PEAR-Apathy subscale. Overall, with the exception of three items with relatively weak reliability (0.50 to 0.56), the PEAR scale showed moderate to strong interrater reliability (0.63 to 0.82). The results support the use of the PEAR scale to measure environmental stimulation and apathy via real-time observation in long-term care residents with dementia. [Journal of Gerontological Nursing, 44(4), 23-28.].
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