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Biomedical subjects

E E Gulick

Publications and source records attributed to E E Gulick.

25 records · Page 2Linked to original sources
PubMedDate not supplied

Parsimony and model confirmation of the ADL Self-Care Scale for multiple sclerosis persons.

Data from a 52-item self-administered Activities of Daily Living (ADL) Self-Care Scale designed for persons diagnosed with multiple sclerosis (MS) were refactored for the purpose of achieving scale parsimony and clarifying interrelationships among ADL self-care behaviors. Analyses were based on 629 MS subjects. Principal component analysis and Varimax rotated factor analysis were used to achieve scale parsimony. The resultant 15-item scale was subjected to confirmatory factor analysis to determine relationships among factors, observed variables, and residual variances within the factor model. Modification of the initial factor model due to a less than satisfactory goodness-of-fit index (GFI) (0.848) resulted in the inclusion of four additional relationships between observed variables and a second factor and six paired relations among the residual variances. The modified factor model had a satisfactory GFI of 0.95. These findings support the development of a 15-item self-administered ADL Self-Care Scale. The scale can be used to screen ADL functional levels in MS persons or to monitor changes in their ADL over time.

Activities of Daily Living↗
PubMedDate not supplied

Coping among spouses or significant others of persons with multiple sclerosis.

The purpose of this study was to identify coping strategies used by a sample of 156 spouses/significant others of persons with multiple sclerosis (MS) in meeting the challenges of living with and/or caring for someone with MS. An additional purpose was to determine if differences existed among the coping strategies with respect to frequency of use, dependency status of the person with MS, the presence or absence of illness in the spouse/significant other, and the latter's gender and relationship to the person with MS. Low alpha coefficients were obtained on most of the Jalowiec Coping Scale (JCS) subscales. Subsequent factor analysis resulted in six factors. Two were problem focused (Planning, Confrontive); three were emotion focused (Ambivalence, Escape/Anger, Distancing); and one was problem and emotion focused combined (Accepting). The factors represented 31 of the 60 JCS items. Alpha coefficients were between .66 and .76. Significantly more problem-than emotion-focused coping dimension strategies were used. More coping strategies were used from the Planning. Distancing, and Escape/Anger dimensions when persons with MS were dependent rather than independent; the Distancing dimension when the spouse/significant other was also ill; and the Planning dimension when the spouse/significant other was a man. Spouses used more coping strategies from the Ambivalence and fewer from the Distancing and Escape/Anger dimensions than did significant others.

Activities of Daily Living↗