Reliability and Validity of the Checklist for Function-Focused Care in Service Plans

The purpose of this study was to test the reliability and validity of the Checklist for Function-Focused Care in Service Plans. Function-focused care is a care approach that optimizes function and physical activity during all care interactions. This study used baseline data from the first cohort of the study titled Dissemination and Implementation of Function-Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT). A total of 242 participants were recruited from 26 assisted living facilities. The majority of participants were White, female, and unmarried. There was support for internal consistency with an alpha coefficient of .96, interrater reliability with a correlation of .80, construct validity based on Rasch analysis and INFIT statistics ranging from 0.69 to 1.29, and a significant association with function-focused care activities. Although there is some support for reliability and validity of the measure, modifications are recommended to add more challenging items.

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Reliability and Validity of the Knowledge of Person-Centered Behavioral Approaches for BPSD Test

Journal of Nursing Measurement ◽

10.1891/jnm-d-19-00016 ◽

2020 ◽

pp. JNM-D-19-00016

Author(s):

Barbara Resnick ◽

Ann Kolanowski ◽

Kimberly Van Haitsma ◽

Elizabeth Galik ◽

Marie Boltz ◽

...

Keyword(s):

Clinical Trial ◽

Construct Validity ◽

Hypothesis Testing ◽

Rasch Analysis ◽

Psychological Symptoms ◽

Reliability And Validity ◽

Alpha Coefficient ◽

Behavioral And Psychological Symptoms ◽

Very High ◽

Evidence Integration

Background and PurposeThe purpose of this study was to test the reliability and validity of the Knowledge of Person-Centered Behavioral Approaches for BPSD based on a Rasch analysis.MethodsThis study used baseline data from the Implementation of the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) clinical trial.ResultsA total 1,071 nurses completed the test. There was evidence of reliability (alpha coefficient of.99), construct validity with INFIT and OUTFIT statistics in the.6 to 1.4 range, and hypothesis testing with a significant correlation between the Knowledge of Person-Centered Behavioral Approaches for BPSD and positive care interactions.ConclusionsFuture use of the measure should include more challenging items to differentiate those very high in knowledge of person-centered behavioral approaches for BPSD.

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Feasibility, Reliability, and Validity of the MotionWatch 8 to Evaluate Physical Activity Among Older Adults With and Without Cognitive Impairment in Assisted Living Settings

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0198 ◽

2020 ◽

pp. 1-9

Author(s):

Barbara Resnick ◽

Marie Boltz ◽

Elizabeth Galik ◽

Steven Fix ◽

Shijun Zhu

Keyword(s):

Physical Activity ◽

Older Adults ◽

Cognitive Impairment ◽

Hypothesis Testing ◽

Assisted Living ◽

Reliability And Validity ◽

Dissemination And Implementation ◽

And Function ◽

Evidence Integration

This study tested the feasibility, reliability, and validity of the MotionWatch 8 among assisted living residents with and without cognitive impairment. Data from the Dissemination and Implementation of Function Focused Care in Assisted Living Using the Evidence Integration Triangle study were used. The sample included 781 individuals from 85 facilities with a mean age of 89.48 (SD = 7.43) years. The majority were female (71%), White (97%), and overall (44%) had cognitive impairment. A total of 70% were willing to wear the MotionWatch 8. Reliability was supported as there was no difference in time spent in activity across three consecutive wear days. Validity was based on hypothesis testing, and function was associated with counts of activity at baseline (p = .001) and 4 months (p = .001). Those with cognitive impairment engaged in less physical activity (p = .04). The MotionWatch 8 is a useful option for measuring physical activity in older adults with and without cognitive impairment.

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The Useful Depression Screening Tool for Older Adults: Psychometric Properties and Clinical Applicability

Journal of Nursing Measurement ◽

10.1891/1061-3749.23.2.78 ◽

2015 ◽

Vol 23 (2) ◽

pp. 78E-87E

Author(s):

N. Jennifer Klinedinst ◽

Barbara Resnick

Keyword(s):

Older Adults ◽

Assisted Living ◽

Rasch Analysis ◽

Screening Tool ◽

Reliability And Validity ◽

Depression Screening ◽

Validity And Reliability ◽

Senior Housing ◽

Test Retest Reliability ◽

Over Time

Background and Purpose: The purpose of this study is to test the reliability and validity of the 3-item Useful Depression Screening Tool (UDST) for use with older adults in congregate living settings. Methods: There were 176 residents of senior housing or assisted living who completed the UDST. Rasch analysis and test criterion relationships with pain, physical activity, and depression diagnosis were used to determine validity. Test–retest reliability was conducted with 29 senior housing residents. Results: Rasch analysis demonstrated good fit of all items to the concept of depression. Criterion validity was supported, F(5) = 14.17, p < .001. Test–retest showed no significant differences in UDST scores over time (p = .29). Conclusions: The findings provide support for the validity and reliability of the UDST for use with older adults in congregate living settings.

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Reliability and Validity Testing of the Quantified Quality of Interaction Scale (QuIS)

Journal of Nursing Measurement ◽

10.1891/jnm-d-19-00101 ◽

2021 ◽

pp. JNM-D-19-00101

Author(s):

Barbara Resnick ◽

Elizabeth Galik ◽

Anju Paudel ◽

Rachel McPherson ◽

Kimberly Van Haitsma ◽

...

Keyword(s):

Rasch Analysis ◽

Psychological Symptoms ◽

Reliability And Validity ◽

Validity Testing ◽

Item Fit ◽

Resistiveness To Care ◽

Behavioral And Psychological Symptoms ◽

Item Reliability ◽

Evidence Integration

Background and PurposeThe purpose of this study was to test the reliability and validity of the Quality of Interaction Survey (QuIS) using a quantification scoring approach.MethodsBaseline data from the Evidence Integration Triangle for Behavioral and Psychological Symptoms of Dementia (EIT-4-BPSD) study was used.ResultsA total of 553 residents participated. There was evidence of inter-rater reliability with Kappa scores of .86 to 1.00 and internal consistency based on the Rasch analysis (item reliability of .98). There was some support for validity based on item fit and hypothesis testing as resistiveness to care was significantly associated with total QuIS scores.ConclusionThis study supports the use of the quantified QuIS to evaluate the quality of interactions over time and to test interventions to improve interactions.

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Model Testing of the Factors That Influence Performance of Function Focused Care and Function Among Assisted Living Residents

Journal of Applied Gerontology ◽

10.1177/0733464820976435 ◽

2020 ◽

pp. 073346482097643

Author(s):

Barbara Resnick ◽

Marie Boltz ◽

Elizabeth Galik ◽

Steven Fix ◽

Sarah Holmes ◽

...

Keyword(s):

Assisted Living ◽

Secondary Data ◽

Model Testing ◽

Dissemination And Implementation ◽

Factors Associated ◽

Profit Status ◽

Using Data ◽

And Function ◽

Evidence Integration

The purpose of this study was to test a model of factors associated with participating in function focused care. Function focused care is a philosophy of care in which residents are encouraged to engage in functional and physical activities during care interactions. This was a secondary data analysis using data from the Dissemination and Implementation of Function Focused Care for Assisted Living Using the Evidence Integration Triangle (FFC-AL-EIT) study. Residents ( n = 550) were recruited from 59 AL settings. The majority were female ( n = 380, 69%) and White ( n = 536, 97%). Model testing was done. Comorbidities, quality of interactions, environments, profit status, cognitive impairment, depression, and function were associated with function focused care and accounted for 17% of the variance. Next steps should include intervening on changeable factors (e.g., environments) and adding factors to better explain performance of function focused care such as motivation, resilience, and staff satisfaction.

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Evaluation of the Psychometric Properties of Relational Insights 360 Among Baccalaureate Nursing Students With the Use of Standardized Patients

Journal of Nursing Measurement ◽

10.1891/jnm-d-19-00085 ◽

2020 ◽

pp. JNM-D-19-00085

Author(s):

Mary Ann Zimmer

Keyword(s):

Factor Analysis ◽

Nursing Students ◽

Baccalaureate Nursing ◽

Interrater Reliability ◽

Reliability And Validity ◽

Standardized Patients ◽

Baccalaureate Nursing Students ◽

Assessment Instrument ◽

Competency Assessment ◽

Alpha Coefficient

Background and PurposeThe purpose of this study was to evaluate reliability and validity of the relational competency assessment instrument, Relational Insights 360 (RI-360™) (Koloroutis & Trout, 2012), among 104 baccalaureate nursing students and 10 standardized patients (SPs) upon completion of a communication simulation.MethodsThe reliability of the RI-360™ was determined by Cronbach’s alpha coefficient. Interrater reliability of the RI-360™ was measured between the SPs and the primary investigator with percentages. Factor analysis was run to evaluate the construct validity.ResultsThe RI-360™ was internally consistent with an alpha coefficient of 0.93. Interrater reliability for all items on the RI-360™ was 42% between students’ scores and SPs’ scores and 38.9% between the Primary Investigator’s scores and SPs’ scores. Exploratory factor analysis showed that factor loadings ranged from 0.29 to 0.84.ConclusionsThe RI-360™ appears to be a valid and reliable scale for use in measuring relational competency among nursing students and SPs.

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TESTING THE RELIABILITY AND VALIDITY OF THE RESIDENT SATISFACTION INDEX

Innovation in Aging ◽

10.1093/geroni/igz038.2373 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S637-S637

Author(s):

Sarah D Holmes ◽

Elizabeth Galik ◽

Barbara Resnick

Keyword(s):

Life Satisfaction ◽

Assisted Living ◽

Reliability And Validity ◽

Cognitive Status ◽

Dissemination And Implementation ◽

Resident Satisfaction ◽

Satisfaction Index ◽

Item Functioning ◽

Item Responses ◽

Males And Females

Abstract Understanding residents’ life satisfaction in assisted living (AL) is essential for creating supportive environments that are targeted toward the needs and desires of residents. Unfortunately, few measures have been developed and tested to evaluate residents’ life satisfaction in AL. The purpose of this study was to test the reliability and validity of the Resident Satisfaction Index (RSI) which was designed to measure residents’ life satisfaction in AL. Baseline data was used from a study testing the Dissemination and Implementation of Function Focused Care in AL. A total of 501 residents from 54 AL facilities were included in the sample. Based on Rasch analysis, there was evidence of internal consistency with an alpha coefficient of 0.95 and validity based on INFIT and OUTFIT statistics which ranged from 0.4 to 1.6. Item mapping showed the easiest item to endorse was item 10 which referred to perceptions of staff’s kindness. The hardest item to endorse was item 17 which asked about staff’s responsiveness to residents’ needs. Differential item functioning (DIF) analysis was done to examine differences in item responses by age, gender, and cognitive status. The measure was equally appropriate for those with and without mild to moderate cognitive impairment and between males and females, 5 out of 22 items were answered differently based on gender. 117 (23%) participants scored so high in satisfaction that they could not be differentiated. Findings support the reliability and validity of the measure although we recommend adding more difficult items to better differentiate between residents.

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Reliability and Validity of the Resident Satisfaction Index in Assisted Living

Journal of Applied Gerontology ◽

10.1177/0733464820943807 ◽

2020 ◽

pp. 073346482094380

Author(s):

Sarah D. Holmes ◽

Barbara Resnick ◽

Elizabeth Galik ◽

Ann Gruber-Baldini ◽

Nancy Kusmaul

Keyword(s):

Assisted Living ◽

Rasch Analysis ◽

Reliability And Validity ◽

Age Group ◽

Valid Measure ◽

Resident Satisfaction ◽

Satisfaction Index ◽

Item Responses ◽

Supportive Environments ◽

Item Reliability

Understanding satisfaction with assisted living (AL) from the residents’ perspective is essential for creating supportive environments that are targeted toward the needs and desires of residents. Few measures have been tested to evaluate residents’ satisfaction with AL. This study tested the reliability and validity of the Resident Satisfaction Index (RSI) in a sample of 501 AL residents. Based on Rasch analysis, there was support for item reliability and construct validity. Differential item functional (DIF) analysis was done to examine differences in item responses by age, gender, and cognition. Significant and substantive differences were identified for five items by gender, one item by cognition, and no differences were found by age group. Findings suggest the RSI is a reliable and valid measure to assess residents’ satisfaction with AL and can be used to guide administrators and clinicians in making changes in these settings to increase residents’ satisfaction.

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