Ostomy Adjustment Inventory-23 (OAI-23)

Dellafiore, Federica; Conte, Gianluca; Baroni, Irène; Pittella, Francesco; Pasquale, Cristina Di; Nania, Tiziana; Saracco, C; Roveron, Gabriele; Caruso, Rosario

doi:10.1097/won.0000000000000493

Cited by 12 publications

(11 citation statements)

References 21 publications

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“…The creation of a new ostomy (ie, ileostomy, colostomy, or urostomy) is a lifesaving technique for the treatment of many conditions affecting the urinary and intestinal tracts, 1 such as bladder and bowel cancer, inflammatory bowel disease, or trauma 2 . Nevertheless, the new ostomy can lead to negative consequences on patients’ psychological and social well-being and quality of life, 3 even as it prolongs their life 4 . The precise incidence and prevalence of ostomy surgery are difficult to ascertain, but current estimates indicate that in Europe 700,000 people live with an ostomy 5 …”

Section: Introductionmentioning

confidence: 99%

“…Ostomy creation is a dramatic, life-changing event 3 that affects all aspects of a patient’s life, especially the emotional, sexual, and social contexts 6,7 . The most common psychological issues experienced by patients with an ostomy are depression, anxiety, changes in body image, low self-esteem, sexual problems, denial, loneliness, hopelessness, and stigmatization 4,8–10 .…”

Section: Introductionmentioning

confidence: 99%

“…Recently, Dellafiore et al 3 created a validated instrument to assess psychosocial adjustment among Italian patients with an ostomy: the Italian version of the Ostomy Adjustment Inventory-23 (OAI-23). This self-reported instrument assesses psychosocial adjustment by measuring acceptance, negative feelings, and social engagement.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Dellafiore

Manara

Arrigoni

et al. 2022

Adv Skin Wound Care

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Objective To describe predictors of adjustment to living with an ostomy among Italian adults with an enterostomy or a colostomy. Methods A multicenter, cross-sectional design was performed, sampling 403 patients with an ostomy in three different outpatient clinics of northern Italy between April 2018 and December 2020. Data were collected by stoma therapists in ambulatory settings using the Italian version of the Ostomy Adjustment Inventory-23 and patient medical records. Results Acceptance was lower among women, patients who underwent emergency surgery, those with a urostomy, and those with a body mass index of less than or equal to 25 kg/m2. Negative feelings were associated with higher body mass index, colostomies, shorter length of time of living with an ostomy, and emergency ostomy creation. Conclusions Being young and having a high level of education are protective against psychosocial problems and help promote acceptance and social engagement. The findings of this study help identify patients who are likely to be more vulnerable and need greater support through specific educational and motivational interventions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Dellafiore

Manara

Arrigoni

et al. 2022

Adv Skin Wound Care

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“…This outcome is similar to prior studies. 24 Dellafiore and colleagues 30 and Simmons and coleagues 13,31 reported OAI-23 means of 64.0, 63.8, and 58.7, respectively, and identified times since surgery generally greater than 1.7 years. Karabulut and colleagues 25 conducted a longitudinal study and reported significant improvement in PSA scores at weeks 6 and 10.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy

Doucette

Mawn

Beitz

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aim of this study was to examine the influence of personal and clinical factors on psychosocial adjustment in persons living with an ostomy for less than 1 year. DESIGN: A cross-sectional survey. SUBJECTS AND SETTING: The study sample comprised 183 adult individuals who had a colostomy, ileostomy, or urostomy for less than 1 year, residing in the Northeastern United States. METHODS: Data were collected from May through November 2018 using 2 instruments: a sociodemographic questionnaire and the Ostomy Adjustment Inventory-23 (OAI-23). The OAI-23 items measured 4 psychosocial subscales: acceptance, anxious preoccupation, social engagement, and anger. Data were analyzed using analysis of variance, multivariate analysis of variance, Cramer's V correlations, and multiple regression. RESULTS: Univariate analysis indicated that factors influencing psychosocial adjustment to an ostomy include age, assistance with care, educational background, stomal type, body mass index, ostomy height, preoperative education, and stoma siting. Multivariate analysis of variance identified that those who reported independence with ostomy care experienced higher levels of adjustment in all areas of the OAI-23. CONCLUSIONS: Findings from this study may assist nurses and other care providers to better understand the physical and emotional needs of those with ostomies and to identify interventions to promote optimal health in this population.

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“…Finally, the body generates an adaptive response or an ineffective response. 6 In recent years, the RAM has been used to guide the development of prenatal assessment tools for pregnant women and the development of tools for studying stoma patients 20 and cancer patients, 14 among others. Patients living with DR-TB suffer from changes related to physiology, psychology, role and society, and they need to adjust and adapt to these changes, which are consistent with the four adaptation modes of Roy's adaptation theory.…”

Section: Scale Development Theoretical Frameworkmentioning

confidence: 99%

<p>Developing and Validating an Adjustment Scale: The Adaptation Status Assessment of Drug-Resistant Tuberculosis Patients</p>

Liu

Zhao

Cao

et al. 2020

PRBM

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Purpose: Drug-resistant tuberculosis (DR-TB) remains a major global public health issue. For DR-TB patients, effective adaptation is crucial to prevent disease progression, improve health outcomes and decrease mortality. To date, there is no appropriate tool for evaluating the adaptation status of DR-TB patients. In this work, we aim to develop an adjustment scale for DR-TB patients (AS-DRTBP) and to evaluate its psychometric properties. Patients and Methods: The development of the AS-DRTBP was based on the theory of the Roy adaptation model (RAM). The scale was designed through a literature review, indepth individual interviews, a Delphi survey, and pilot testing. In total, 433 patients with DR-TB were recruited to validate the instrument. The split-half reliability coefficient, Cronbach's alpha coefficient, and test-retest reliability coefficient were calculated to assess the reliability of the instrument. Content validity, construct validity and concurrent validity tests were applied to calculate the validity of the instrument. Results: The final AS-DRTBP consisted of four dimensions and 26 items. The Cronbach's alpha coefficient, split-half reliability coefficient and test-retest reliability coefficient were 0.893, 0.954, and 0.853, respectively. The content validity index was 0.92. Four factors that explained 64.605% of the total variance were also further determined by confirmatory factor analysis (CFA). The CFA results showed that the fitting effect of the model was appropriate (CMIN/DF = 1.681, GFI = 0.832, AGFI = 0.799, RMSEA = 0.055, SRMR = 0.0684). The AS-DRTBP and adjustment scale had correlation in the total score, and the correlation coefficient was 0.355 (p<0.05). Conclusion:The findings of this study demonstrate that the AS-DRTBP is a reliable and valid instrument for measuring the adaptation status of patients with DR-TB, allowing health providers to comprehend the adaptive level of DR-TB patients and thus laying the foundation for interventions to help these patients achieve a physiologically, psychologically and socially optimal outcome.

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Ostomy Adjustment Inventory-23 (OAI-23)

Cited by 12 publications

References 21 publications

Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Predictors of Adjustment to Living with an Ostomy: Results of a Cross-sectional Study

Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy

<p>Developing and Validating an Adjustment Scale: The Adaptation Status Assessment of Drug-Resistant Tuberculosis Patients</p>

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