scholarly journals Reliability and Validity of an Observational Assessment Scale for Behavioral and Psychological Symptoms of Dementia (BPSD)

2010 ◽  
Vol 30 (4) ◽  
pp. 510-522
Author(s):  
Yoko Kitamura ◽  
Toru Imamura ◽  
Akemi Kasai ◽  
Maki Iwahashi
2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S558-S559
Author(s):  
Kimberly Van Haitsma ◽  
Caroline Madrigal ◽  
Ann M Kolanowski ◽  
Barb Resnick ◽  
Beth Galik ◽  
...  

Abstract How behavioral and psychological symptoms of dementia (BPSD) are understood and managed is important to person-centered care. No knowledge tests associated with dementia specifically address staff knowledge of person-centered behavioral approaches to BPSD. The Knowledge of Person-Centered Behavioral Approaches for BPSD Test was developed by our team to fill that gap. We tested the reliability and validity of this measure using a Rasch analysis and additional psychometric testing. 1,071 nurses from 35 nursing homes participated in the study. Reliability was evident based on an item separation of 11.00 and item reliability of 0.99. Construct validity was evident in that all of the items fit the model with INFIT and OUTFIT statistics (0.6-1.4). Associations between test scores and observed positive and negative care interactions (r=.38, p=.03; r=-.26, p=.12), person-centered care approaches (r=-.25, p=.15), and resistance to care (r=-.31, p=.07) will be examined and implications for person-centered care discussed.


2021 ◽  
pp. JNM-D-19-00101
Author(s):  
Barbara Resnick ◽  
Elizabeth Galik ◽  
Anju Paudel ◽  
Rachel McPherson ◽  
Kimberly Van Haitsma ◽  
...  

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.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 263-263
Author(s):  
Benjamin Mast ◽  
Gail Mountain ◽  
Ann Kolanowski ◽  
Esme Moniz-Cook ◽  
Margareta Halek ◽  
...  

Abstract Behavioral and psychological symptoms of dementia are increasingly being reconceptualized as expressions of distress and unmet needs. Measures that evaluate context are needed to increase our understanding of factors that influence these expressions. This review evaluated measures for two common behavioral states that are experienced as challenging for caregivers: apathy and resistance to care. A systematic literature search identified measures of apathy or resistance to care for people living with dementia. Eight measures of apathy and three measures of resistance to care were identified. Reliability and validity of these measures were evaluated using the COSMIN framework, as well as reported contextual factors within which the behavior occurs. The identified measures had fair to good reliability and validity in people living with dementia. However, available measures need to move beyond symptomatic constructs for this complex paradigm, and toward the varied interpersonal and contextual factors associated with behavioral expression.


2020 ◽  
pp. JNM-D-19-00016
Author(s):  
Barbara Resnick ◽  
Ann Kolanowski ◽  
Kimberly Van Haitsma ◽  
Elizabeth Galik ◽  
Marie Boltz ◽  
...  

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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