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Quality of Life Research

Erschienen in:

01.09.2014

Measurement properties of the Client-centered Care Questionnaire (CCCQ): factor structure, reliability and validity of a questionnaire to assess self-reported client-centeredness of home care services in a population of frail, older people

verfasst von: M. E. Muntinga, L. B. Mokkink, D. L. Knol, G. Nijpels, A. P. D. Jansen

Erschienen in: Quality of Life Research | Ausgabe 7/2014

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Abstract

Background

The increasing and specific use of home care services by frail, older people asks for the evaluation of the client-centeredness of these services. To our knowledge, no instrument that measures client-centeredness of home care from this group’s unique perspective exists. We therefore tested the factor structure, reliability, content validity and acceptability of the Client-centered Care Questionnaire (CCCQ), an existing instrument developed for general home care users, in a population of frail, older people in the Netherlands.

Methods

We used data from a 2-year clinical trial. Study population: frail, older people who received home care. Data were collected at baseline (n = 600) and 24-month measurements (n = 389); retest data (n = 67) were collected 7–14 days after the 24-month measurements. Analyses: We performed confirmatory factor analysis, investigated reliability and validity parameters and assessed acceptability.

Results

The factor analysis yielded a bifactor model with essential unidimensionality. Internal consistency was high (omega total .88). We found a test–retest reliability of total test scores of .81; the standard error of measurement was 2.61 (total score range 15–75) and the limits of agreement were −7.03 and 7.86. We rejected three out of four hypotheses for construct validity.

Conclusions

The CCCQ is sufficiently unidimensional to permit the use of total test scores. We found acceptable reliability values, but considered our results on construct validity inconclusive. Respondents found the CCCQ questions challenging to answer, which is indicative of a high degree of respondent burden. Future instruments that measure client-centeredness of home care from the frail, older client’s perspective should therefore be tailored to the specific circumstances of this population.

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Abdellah, F. G., Beland, I. L., Martin, A., & Matheney, R. V. (1960). Patient-centered approaches to nursing. New York, USA: Macmillan.

Abdellah, F. G. (1973). New directions in patient centered nursing: guidelines for systems of service education and research.New York, USA: Macmillan.

Gerteis, M., Edgman-Levitan, S., Daley, J., & Delbanco, T. L. (1993). Through the patient’s eyes: Understanding and promoting patient-centered care. San Francisco: Jossey-Bass.

Leino, A. (1952). Planning patient-centered care. AJN The American Journal of Nursing, 52, 324–325.

Lutz, B. J., & Bowers, B. J. (2000). Patient-centered care: understanding its interpretation and implementation in health care. Scholarly Inquiry for Nursing Practice, 14, 165–183.PubMed

Mead, N., & Bower, P. (2000). Patient-centredness: A conceptual framework and review of the empirical literature. Social Science and Medicine, 51, 1087–1110.PubMedCrossRef

Bechel, D. L., Myers, W. A., & Smith, D. G. (2000). Does patient-centered care pay off? Joint Commission Journal on Quality Improvement, 26, 400–409.PubMed

Stewart, M., Brown, J. B., Donner, A., McWhinney, I. R., Oates, J., Weston, W. W., et al. (2000). The impact of patient-centered care on outcomes. Journal of Family Practice, 49, 796–804.PubMed

Epstein, R. M., Fiscella, K., Lesser, C. S., & Stange, K. C. (2010). Why the nation needs a policy push on patient-centered health care. Health Affairs, 29, 1489–1495.PubMedCrossRef

10.

Robinson, J. H., Callister, L. C., Berry, J. A., & Dearing, K. A. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Academy of Nurse Practitioners, 20, 600–607.PubMedCrossRef

11.

Hobbs, J. L. (2009). A dimensional analysis of patient-centered care. Nursing Research, 58, 52–62.PubMedCrossRef

12.

Jayadevappa, R., & Chhatre, S. (2011). Patient centered care-A conceptual model and review of the state of the art. The Open Health Services and Policy Journal, 4, 15–25.CrossRef

13.

Eales, J., Keating, N., & Damsma, A. (2001). Seniors’ experiences of client-centred residential care. Ageing and society, 21, 279–296.CrossRef

14.

Law, M., Baptiste, S., & Mills, J. (1995). Client-centred practice: What does it mean and does it make a difference? Canadian Journal of Occupational Therapy, 62, 250–257.CrossRef

15.

Cott, C. A., Teare, G., McGilton, K. S., & Lineker, S. (2006). Reliability and construct validity of the client-centred rehabilitation questionnaire. Disability and Rehabilitation, 28, 1387–1397.PubMedCrossRef

16.

de Witte, L., Schoot, T., & Proot, I. (2006). Development of the client-centred care questionnaire. Journal of Advanced Nursing, 56, 62–68.PubMedCrossRef

17.

Wiles, J. L., Leibing, A., Guberman, N., Reeve, J., & Allen, R. E. S. (2012). The meaning of “aging in place” to older people. Gerontologist, 52, 357–366.PubMedCrossRef

18.

Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., & Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59, 255–263.

19.

Muntinga, M., Hoogendijk, E., van Leeuwen, K., van Hout, H., Twisk, J., van der Horst, H., et al. (2012). Implementing the chronic care model for frail older adults in the Netherlands: study protocol of ACT (frail older Adults: Care in Transition). BMC Geriatrics, 12, 19.PubMedCentralPubMedCrossRef

20.

Schuurmans, H., Steverink, N., Lindenberg, S., Frieswijk, N., & Slaets, J. P. J. (2004). Old or frail: What tells us more? Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59, M962–M965.

21.

Raiche, M., Hebert, R., & Dubois, M. F. (2008). PRISMA-7: A case-finding tool to identify older adults with moderate to severe disabilities. Archives of Gerontology and Geriatrics, 47, 9–18.PubMedCrossRef

22.

De Vet, H., Terwee, C., Mokkink, L., & Knol, D. (2011). Measurement in medicine: A practical guide. Cambridge: Cambridge University Press.CrossRef

23.

Wirth, R. J., & Edwards, M. C. (2007). Item factor analysis: Current approaches and future directions. Psychological Methods, 12, 58–79.PubMedCentralPubMedCrossRef

24.

Babyak, M. A., & Green, S. B. (2010). Confirmatory factor analysis: An introduction for psychosomatic medicine researchers. Psychosomatic Medicine, 72, 587–597.PubMedCrossRef

25.

Chen, F. F., Hayes, A., Carver, C. S., Laurenceau, J. P., & Zhang, Z. (2012). Modeling general and specific variance in multifaceted constructs: A comparison of the bifactor model to other approaches. Journal of Personality, 80, 219–251.PubMedCrossRef

26.

Chen, F. F., West, S. G., & Sousa, K. H. (2006). A comparison of bifactor and second-order models of quality of life. Multivariate Behavioral Research, 41, 189–225.CrossRef

27.

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives, structural. Equation Modeling-A Multidisciplinary Journal, 6, 1–55.

28.

Ten Berge, J. M., & Socan, G. (2004). The greatest lower bound to the reliability of a test and the hypothesis of unidimensionality. Psychometrika, 69, 613–625.CrossRef

29.

Reise, S. P. (2012). The rediscovery of bifactor measurement models. Multivariate Behavioral Research, 47, 667–696.PubMedCentralPubMedCrossRef

30.

Green, S. B., & Yang, Y. (2009). Reliability of summed item scores using structural equation modeling: An alternative to coefficient alpha. Psychometrika, 74, 155–167.CrossRef

31.

Reise, S. P., Morizot, J., & Hays, R. D. (2007). The role of the bifactor model in resolving dimensionality issues in health outcomes measures. Quality of Life Research, 16(Suppl 1), 19–31.PubMedCrossRef

32.

Reise, S. P., Bonifay, W. E., & Haviland, M. G. (2013). Scoring and modeling psychological measures in the presence of multidimensionality. Journal of Personality Assessment, 95, 129–140.PubMedCrossRef

33.

McGraw, K. O., & Wong, S. P. (1996). Forming inferences about some intraclass correlation coefficients. Psychological Methods, 1, 30–46.CrossRef

34.

Bland, J. M., & Altman, D. G. (1986). Statistical methods for assessing agreement between two methods of clinical measurement. Lancet, 1, 307–310.PubMedCrossRef

35.

Jayasinghe, U. W., Proudfoot, J., Holton, C., Davies, G. P., Amoroso, C., Bubner, T., et al. (2008). Chronically ill Australians’ satisfaction with accessibility and patient-centredness. International Journal for Quality in Health Care, 20, 105–114.PubMedCrossRef

36.

Watkins, M., & Beaujean, A. (2013). Bifactor structure of the Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition. Sch Psychol. Q.,.

37.

Teresi, JA., Ocepek-Welikson, K., Ramirez, M., Eimicke JP., Silver, S., Van Haitsma, K., Lachs, MS., & Pillemer, KA. (2013). Development of an instrument to measure staff-reported resident-to-resident elder mistreatment (R-REM) using item response theory and other latent variable models. Gerontologist. doi:10.1093/geront/gnt001

38.

Lai, J. S., Crane, P. K., & Cella, D. (2006). Factor analysis techniques for assessing sufficient unidimensionality of cancer related fatigue. Quality of Life Research, 15, 1179–1190.PubMedCrossRef

39.

Baker, D. W., Gazmararian, J. A., Sudano, J., & Patterson, M. (2000). The association between age and health literacy among elderly persons. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 55, S368–S374.CrossRef

40.

McHorney, C. A. (1996). Measuring and monitoring general health status in elderly persons: Practical and methodological issues in using the SF-36 Health Survey. The Gerontologist, 36, 571–583.PubMedCrossRef

41.

Ulrich, C. M., Wallen, G. R., Feister, A., & Grady, C. (2005). Respondent burden in clinical research: when are we asking too much of subjects? IRB: Ethics and Human Research, 27, 17–20.PubMedCrossRef

Titel: Measurement properties of the Client-centered Care Questionnaire (CCCQ): factor structure, reliability and validity of a questionnaire to assess self-reported client-centeredness of home care services in a population of frail, older people
verfasst von: M. E. Muntinga
L. B. Mokkink
D. L. Knol
G. Nijpels
A. P. D. Jansen
Publikationsdatum: 01.09.2014
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 7/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0650-7

Springer Medizin

Abstract

Background

Methods

Results

Conclusions

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