3 results on '"Malley, Juliette N"'
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2. An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people
- Author
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Malley Juliette N, Towers Ann-Marie, Netten Ann P, Brazier John E, Forder Julien E, and Flynn Terry
- Subjects
social care ,quality of life ,ASCOT ,validity ,long-term care ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Abstract Background The adult social care outcomes toolkit (ASCOT) includes a preference-weighted measure of social care-related quality of life for use in economic evaluations. ASCOT has eight attributes: personal cleanliness and comfort, food and drink, control over daily life, personal safety, accommodation cleanliness and comfort, social participation and involvement, occupation and dignity. This paper aims to demonstrate the construct validity of the ASCOT attributes. Methods A survey of older people receiving publicly-funded home care services was conducted by face-to-face interview in several sites across England. Additional data on variables hypothesised to be related and unrelated to each of the attributes were also collected. Relationships between these variables and the attributes were analysed through chi-squared tests and analysis of variance, as appropriate, to test the construct validity of each attribute. Results 301 people were interviewed and approximately 10% of responses were given by a proxy respondent. Results suggest that each attribute captured the extent to which respondents exercised choice in how their outcomes were met. There was also evidence for the validity of the control over daily life, occupation, personal cleanliness and comfort, personal safety, accommodation cleanliness and comfort, and social participation and involvement attributes. There was less evidence regarding the validity of the food and drink and dignity attributes, but this may be a consequence of problems finding good data against which to validate these attributes, as well as problems with the distribution of the food and drink item. Conclusions This study provides some evidence for the construct validity of the ASCOT attributes and therefore support for ASCOT's use in economic evaluation. It also demonstrated the feasibility of its use among older people, although the need for proxy respondents in some situations suggests that developing a version that is suitable for proxies would be a useful future direction for this work. Validation of the instrument on a sample of younger social care users would also be useful.
- Published
- 2012
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3. An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people
- Author
-
Julien E. Forder, Terry N. Flynn, Ann Netten, Juliette Malley, John Brazier, Ann-Marie Towers, Malley, Juliette N, Towers, Ann-Marie, Netten, Ann P, Brazier, John E, Forder, Julien E, and Flynn, Terry
- Subjects
Male ,Gerontology ,H Social Sciences (General) ,validity ,Activities of daily living ,Frail Elderly ,media_common.quotation_subject ,lcsh:Computer applications to medicine. Medical informatics ,Risk Assessment ,Dignity ,Social support ,Quality of life (healthcare) ,Surveys and Questionnaires ,Activities of Daily Living ,Humans ,Medicine ,Community Health Services ,Geriatric Assessment ,Life Style ,Aged ,media_common ,Aged, 80 and over ,business.industry ,Research ,ASCOT ,Public Health, Environmental and Occupational Health ,Social Support ,Construct validity ,General Medicine ,Social engagement ,Home Care Services ,social care ,Personal Health Services ,United Kingdom ,Long-term care ,Cross-Sectional Studies ,Socioeconomic Factors ,quality of life ,Personal Autonomy ,Economic evaluation ,Health Policy & Services ,long-term care ,lcsh:R858-859.7 ,Female ,Patient Safety ,business - Abstract
Background The adult social care outcomes toolkit (ASCOT) includes a preference-weighted measure of social care-related quality of life for use in economic evaluations. ASCOT has eight attributes: personal cleanliness and comfort, food and drink, control over daily life, personal safety, accommodation cleanliness and comfort, social participation and involvement, occupation and dignity. This paper aims to demonstrate the construct validity of the ASCOT attributes. Methods A survey of older people receiving publicly-funded home care services was conducted by face-to-face interview in several sites across England. Additional data on variables hypothesised to be related and unrelated to each of the attributes were also collected. Relationships between these variables and the attributes were analysed through chi-squared tests and analysis of variance, as appropriate, to test the construct validity of each attribute. Results 301 people were interviewed and approximately 10% of responses were given by a proxy respondent. Results suggest that each attribute captured the extent to which respondents exercised choice in how their outcomes were met. There was also evidence for the validity of the control over daily life, occupation, personal cleanliness and comfort, personal safety, accommodation cleanliness and comfort, and social participation and involvement attributes. There was less evidence regarding the validity of the food and drink and dignity attributes, but this may be a consequence of problems finding good data against which to validate these attributes, as well as problems with the distribution of the food and drink item. Conclusions This study provides some evidence for the construct validity of the ASCOT attributes and therefore support for ASCOT's use in economic evaluation. It also demonstrated the feasibility of its use among older people, although the need for proxy respondents in some situations suggests that developing a version that is suitable for proxies would be a useful future direction for this work. Validation of the instrument on a sample of younger social care users would also be useful.
- Full Text
- View/download PDF
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