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Article: Person-centered care in Chinese residential care facilities: a preliminary measure

TitlePerson-centered care in Chinese residential care facilities: a preliminary measure
Authors
Issue Date2013
PublisherRoutledge. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/13607863.asp
Citation
Aging & mental health, 2013, v. 17 n. 8, p. 952-958 How to Cite?
AbstractOBJECTIVES: Person-centered care (PCC) is one of the most desirable approaches for elderly with dementia. However, it has not been initiated and systematically studied in China, on which lacking of reliable and valid measurement tools is one of the key barriers. This paper aims to validate person-centered care assessment tools (P-CAT) in a Chinese context. METHOD: The original 13-item was translated and back translated. And 11 items were added based on literature review and expert consultation. The resulting 24-item P-CAT-C was validated among a sample of formal caregivers (n = 330) in all 34 residential care facilities in urban Xi'an, a representative city in north-western China. Chinese versions of staff-based measures of individualized care for institutionalized persons with dementia (IC) and caregiver psychological elder abuse behavior (CPEAB) scale were used to test the criterion validity. RESULTS: Confirmatory factor analysis (CFA) showed that a three-factor 15-item solution provided adequate fit indices to the data (chi(2) = 145.691, df = 81, p < 0.001, comparative fit index (CFI) = 0.926, Tucker-Lewis index (TLI) = 0.905, root mean square error of approximation (RMSEA) = 0.050). Four new items were identified and two original items were excluded. The three factors are named as (1) individualized care (6-item); (2) organizational support (6-item); and (3) environmental accessibility (3-item). The internal consistency coefficient (Cronbach's alpha = 0.684) is satisfactory. The interscale correlation among P-CAT-C, IC, and CPEAB showed good criterion validity. CONCLUSION: P-CAT-C is a culturally adapted version of the original P-CAT, which showed satisfactory reliability and validity for evaluating PCC in Chinese residential care facilities. It also provides insight to other developing countries.
Persistent Identifierhttp://hdl.handle.net/10722/200880
ISSN
2015 Impact Factor: 1.861
2015 SCImago Journal Rankings: 0.967
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZhong, XBen_US
dc.contributor.authorLou, VWQen_US
dc.date.accessioned2014-08-21T07:04:27Z-
dc.date.available2014-08-21T07:04:27Z-
dc.date.issued2013en_US
dc.identifier.citationAging & mental health, 2013, v. 17 n. 8, p. 952-958en_US
dc.identifier.issn1360-7863-
dc.identifier.urihttp://hdl.handle.net/10722/200880-
dc.description.abstractOBJECTIVES: Person-centered care (PCC) is one of the most desirable approaches for elderly with dementia. However, it has not been initiated and systematically studied in China, on which lacking of reliable and valid measurement tools is one of the key barriers. This paper aims to validate person-centered care assessment tools (P-CAT) in a Chinese context. METHOD: The original 13-item was translated and back translated. And 11 items were added based on literature review and expert consultation. The resulting 24-item P-CAT-C was validated among a sample of formal caregivers (n = 330) in all 34 residential care facilities in urban Xi'an, a representative city in north-western China. Chinese versions of staff-based measures of individualized care for institutionalized persons with dementia (IC) and caregiver psychological elder abuse behavior (CPEAB) scale were used to test the criterion validity. RESULTS: Confirmatory factor analysis (CFA) showed that a three-factor 15-item solution provided adequate fit indices to the data (chi(2) = 145.691, df = 81, p < 0.001, comparative fit index (CFI) = 0.926, Tucker-Lewis index (TLI) = 0.905, root mean square error of approximation (RMSEA) = 0.050). Four new items were identified and two original items were excluded. The three factors are named as (1) individualized care (6-item); (2) organizational support (6-item); and (3) environmental accessibility (3-item). The internal consistency coefficient (Cronbach's alpha = 0.684) is satisfactory. The interscale correlation among P-CAT-C, IC, and CPEAB showed good criterion validity. CONCLUSION: P-CAT-C is a culturally adapted version of the original P-CAT, which showed satisfactory reliability and validity for evaluating PCC in Chinese residential care facilities. It also provides insight to other developing countries.-
dc.languageengen_US
dc.publisherRoutledge. The Journal's web site is located at http://www.tandf.co.uk/journals/titles/13607863.asp-
dc.relation.ispartofAging & mental healthen_US
dc.rightsThis is an Accepted Manuscript of an article published by Taylor & Francis Group in Aging & Mental Health on 07 May 2013, available online: http://www.tandfonline.com/doi/abs/10.1080/13607863.2013.790925-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshCaregivers - standards-
dc.subject.meshDementia - nursing-
dc.subject.meshPatient-Centered Care - standards-
dc.subject.meshProcess Assessment (Health Care) - standards-
dc.subject.meshResidential Facilities - standards-
dc.titlePerson-centered care in Chinese residential care facilities: a preliminary measureen_US
dc.typeArticleen_US
dc.identifier.emailLou, VWQ: wlou@hku.hken_US
dc.identifier.authorityLou, VWQ=rp00607en_US
dc.description.naturepostprint-
dc.identifier.doi10.1080/13607863.2013.790925-
dc.identifier.pmid23650898-
dc.identifier.hkuros234572en_US
dc.identifier.volume17-
dc.identifier.issue8en_US
dc.identifier.spage952en_US
dc.identifier.epage958en_US
dc.identifier.isiWOS:000326352500007-
dc.publisher.placeUnited Kingdom-

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