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Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O
- Source :
- PLoS One, 9, 3, PLoS One, 9, PLoS ONE, PLoS ONE, Vol 9, Iss 3, p e92016 (2014), PLoS One (print), 9(3). Public Library of Science
- Publication Year :
- 2014
-
Abstract
- ObjectivesTo validate the ICECAP-O capability wellbeing measure's German translation in older people with dementia living in a nursing home, and to investigate the influence of proxy characteristics on responses.MethodCross-sectional study. For 95 residents living in a German nursing home, questionnaires were completed by nursing professionals serving as proxy respondents. We investigated the convergent validity of the ICECAP-O with other Quality of Life (Qol) measures, the EQ-5D extended with a cognitive dimension (EQ-5D+C), the Alzheimer's Disease Related Quality of Life (ADRQL) measures, and the Barthel-index measure of Activities of Daily Living (ADL). Discriminant validity was investigated using bivariate and multivariate stepwise regression analysis, comparing ICECAP-O scores between subgroups varying in dementia severity, care dependency, ADL status and demographic characteristics.ResultsConvergent validity between the ICECAP-O, EQ-5D+C, ADRQL and Barthel-Index scores was moderate to good (with correlations of 0.72, 0.69 and 0.53 respectively), but differed considerably between dimensions of the instruments. Discriminant validity was confirmed by finding differences in ICECAP-O scores between subgroups based on ADL scores (0.58 below 65 points on the Barthel-index and 0.80 above 65 points) and other characteristics. The ICECAP-O scores based on available tariffs were related to proxy characteristics gender (0.52 males versus 0.65 females) and work experience (0.61 below 2 years of experience versus 0.68 above 2 years).DiscussionThe results of this study suggest that the ICECAP-O is a promising generic measure for general Qol and capability of people with dementia living in a nursing home. Validity tests generally yielded favorable results. Work experience and gender appeared to influence proxy response, which raises questions regarding appropriate proxies, especially since the ICECAP-O may be completed by proxies relatively often. Further research is necessary to validate the German version of the ICECAP-O, with specific attention to proxy completion for people with dementia.
- Subjects :
- Gerontology
Male
medicine.medical_specialty
Activities of daily living
Non-Clinical Medicine
Psychometrics
Clinical Research Design
Epidemiology
Economics
Science
Stress-related disorders Donders Center for Medical Neuroscience [Radboudumc 13]
Social and Behavioral Sciences
Proxy (climate)
Cost Effectiveness
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
Health Economics
Germany
Surveys and Questionnaires
medicine
Dementia
Psychology
Humans
Geriatric Assessment
GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries)
Aged
Geriatrics
Psychiatry
Multidisciplinary
Survey Research
Health Care Policy
business.industry
Discriminant validity
medicine.disease
Long-Term Care
Work experience
Nursing Homes
Long-term care
Survey Methods
Mental Health
Convergent validity
Quality of Life
Medicine
Female
business
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 9
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- PLoS One (print)
- Accession number :
- edsair.doi.dedup.....cc0a1877b8141213f0fde8c76daf76ff