Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT)

Trukeschitz, Birgit; Litschauer, Judith; Hajji, Assma; Kieninger, Judith; Schoch, Adiam; Malley, Juliette; Rand, Stacey; Linnosmaa, Ismo; Forder, Julien E.

doi:10.1186/s12955-020-01533-7

Cited by 8 publications

(11 citation statements)

References 34 publications

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“…12 Therefore, every caregiver needs interventions to address their needs and strains. 13 The Adult Social Care Outcomes Toolkit for Carers (ASCOT-Carer), developed by a research group at the University of Kent, England, captures aspects of LTC-related QoL for informal caregivers of adults requiring LTC at home. 14 The ASCOT-Carer was developed to reflect the social care policy and legislative focus on informal caregivers' wellbeing and QoL, 15 which recognizes that caregivers are co-clients of LTC along with the people they support.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers

Nakamura‐Thomas¹,

Yamaguchi²,

Yamaguchi³

et al. 2021

Home Health Care Management & Practice

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Due to the absence of standardized Quality of Life (QoL) measures for informal family caregivers of recipients of long-term care (LTC) in Japan, translation and cross-cultural adapted LTC outcome measures are needed for research and evaluation. In this study, we assessed the validity and reliability of the factor structure and response system of the translated and cross-culturally adapted Japanese version of the Adult Social Care Outcomes Toolkit for Carer (J-ASCOT-Carer). Participants were 872 informal family caregivers of adults who lived at home and required LTC services. Almost half (46%) of the participants were between 50 and 59 years old, 85% were employed, and 69% resided with their care recipients. We used the combined factor analysis and item response theory approach. Model fit indices included factor loading, path coefficients, root mean square error of approximation, standardized root mean square residual, and comparative fit index. This study confirmed the one factor structure that was identified in the original English version of the ASCOT-Carer. The values for the model fit indices indicated a good fit. Moreover, the validity and reliability of the response system were confirmed. Therefore, the J-ASCOT-Carer is a reliable assessment instrument to measure QoL of Japanese caregivers of adults requiring LTC.

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Section: Introductionmentioning

confidence: 99%

Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers

Nakamura‐Thomas¹,

Yamaguchi²,

Yamaguchi³

et al. 2021

Home Health Care Management & Practice

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“…We used data from purposively-designed surveys conducted in Austria, England and Finland. English data were collected as part of the IIASC project (Forder et al, 2016) in 2013/14, Finnish and Austrian data as part of the EXCELC project (Linnosmaa et al, 2020; Trukeschitz et al, 2018) in 2016/17. Data collection in Austria and Finland followed the English protocol with adaptations to institutional characteristics.…”

Section: Methodsmentioning

confidence: 99%

“…In Austria, there are no national or standardized regional records of home care service users. Thus, two main recruitment strategies were applied (Trukeschitz et al, 2018). Home care service users were recruited in cooperation with the Austrian Federal Ministry of Labour, Social Affairs and Consumer Protection by drawing on a national sample from the Austrian Home Visit and Counselling Programme (HVCP), a programme aimed at assessing the care situation of community-dwelling LTC allowance recipients (Trukeschitz, 2010).…”

Section: Methodsmentioning

confidence: 99%

“…LTC service-induced changes in QoL (short: LTC-QoL changes) were measured using ASCOT-INT4 (Netten et al, 2012a), which can be used for directly assessing the impact of LTC services on service users' QoL by calculating the difference between two LTC-QoL states. ASCOT is available in different languages, including English (original instrument), Finnish and German (Trukeschitz et al, 2020).The 'current' LTC-QoL scores indicate a person's overall LTC-QoL in the current situation (that is, with the LTC services they are receiving) and 'expected' scores indicate their overall LTC-QoL in the absence of these services. The ASCOT service user measure includes eight domains (control over daily life, personal care, food and drink, accommodation, personal safety, social participation, occupation and dignity).…”

Section: Dependent Variable: Ltc Service-induced Changes In Qolmentioning

confidence: 99%

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Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

Trukeschitz¹,

Hajji²,

Kieninger

et al. 2021

Journal of European Social Policy

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European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. JEL: I31, I38, J14

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“…using EFA) 1,2 and FM (i.e. not applying structural validity methods) approaches 15,16 , typically influenced by the view of how the measure will be applied (i.e. as a PBM, or not).…”

Section: Introductionmentioning

confidence: 99%

Exploring the structural characteristics of the Adult Social Care Outcomes Toolkit (ASCOT) and ASCOT-Carer

et al. 2022

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Background: Measurement models inform the approach to assess a measure’s validity and also how a measure is understood, applied and interpreted. With preference-based measures, it is generally accepted that they are formative; however, if they are applied without preferences, they may be reflective, formative or mixed. In this study, we sought to empirically test whether the reflective, formative or mixed measurement model best describes PBMs of social care-related quality of life (ASCOT, ASCOT-Carer). We also explored the network approach, as an alternative. Methods: ASCOT and ASCOT-Carer data were analyzed using confirmatory factor analysis and Multiple Indicators Multiple Causes models to test reflective, formative or mixed measurement models, respectively. Network analysis of partial correlations using the Gaussian graphical model was also conducted. Results: The results indicated that the reflective measurement model is the worst fit for ASCOT and ASCOT-Carer. The formative or mixed models may apply to ASCOT. The mixed model was the best fit for ASCOT-Carer. The network analysis indicated that the most important or influential items were Occupation and Personal cleanliness and comfort (ASCOT) and Time and space and Self-care (ASCOT-Carer). Conclusions: The ASCOT and ASCOT-Carer are best described as formative/mixed or mixed models, respectively. These findings may guide the approach to the validation of cross-culturally adapted and translated versions. Specifically, we recommend that EFA be applied to establish structural characteristics, especially if the measure will be applied as a PBM and as a measure of SCRQoL. Network analysis may also provide further useful insights into structural characteristics.

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Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT)

Cited by 8 publications

References 34 publications

Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers

Assessing the Structural Characteristics of the Japanese Version of the Adult Social Care Outcomes Toolkit for Carers

Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

Exploring the structural characteristics of the Adult Social Care Outcomes Toolkit (ASCOT) and ASCOT-Carer

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