Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users

Nguyen, Lien; Linnosmaa, Ismo; Jokimäki, Hanna; Rand, Stacey; Malley, Juliette; Razik, Kamilla; Trukeschitz, Birgit; Forder, Julien E.

doi:10.1111/hsc.13328

Cited by 10 publications

(14 citation statements)

References 42 publications

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“…10 An epidemiological study in Japan found that regardless of the degree and type of functional limitation of LTC recipients, their spouses as informal family caregivers experienced a significantly high risk of psychological distress as well as limitations in social participation. 11 Moreover, a systematic review suggested that caregiving burden was determined more by the characteristics of the caregiver and the provision of caregiving tasks than by the characteristics of care recipients. 12 Therefore, every caregiver needs interventions to address their needs and strains.…”

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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“…of the measures and psychometric testing of the original English language version or cultural adaptation and translations, authors have made different assumptions about whether the measure is formative 1,2 or reflective 15,16 . In some work, the issue of measurement models has been noted, and an 'agnostic' approach taken to analysis that does not commit to either model 17 .…”

Section: Resultsmentioning

confidence: 99%

“…as a PBM, or not). Inconsistent approaches to psychometric evaluation of the same measure have given rise to discussion of the correct approach to the translation and cross-cultural validity or adaptation of the measures for new contexts or populations [15][16][17] . One way of resolving this question is to establish empirically which measurement model, RMM or FM, most accurately describes the ASCOT and ASCOT-Carer.…”

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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“… 70 , 75 A short completion time of the BWS task as a significant scale factor could suggest that the respondents used a heuristic method to make choices quickly 76 or that they made a reduced effort while engaging in the choice tasks and considering the available alternatives properly. The learning effect has not been explored earlier in BWS studies, except in Nguyen et al 24 In addition to two four-task sequences, we tested other sequential divisions of the choice tasks (e.g., the first two tasks vs. the later six tasks), but they were not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“… 22 At this time, the official Finnish translations of the ASCOT are available. 23 The Finnish ASCOT measure has been validated, 24 but its preference weights have not been estimated. Evidence indicates that country-specific differences in sociocultural values, demographic backgrounds, and political and economic systems influence valuations of well-being and QoL.…”

Section: Introductionmentioning

confidence: 99%

Do You Prefer Safety to Social Participation? Finnish Population-Based Preference Weights for the Adult Social Care Outcomes Toolkit (ASCOT) for Service Users

Nguyen

Jokimäki

Linnosmaa

et al. 2021

MDM Policy & Practice

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Introduction. The Adult Social Care Outcomes Toolkit (ASCOT) was developed in England to measure people’s social care–related quality of life (SCRQoL). Objectives. The aim of this article is to estimate preference weights for the Finnish ASCOT for service users (ASCOT). In addition, we tested for learning and fatigue effects in the choice experiment used to elicit the preference weights. Methods. The analysis data ( n = 1000 individuals) were obtained from an online survey sample of the Finnish adult general population using gender, age, and region as quotas. The questionnaire included a best-worst scaling (BWS) experiment using ASCOT. Each respondent sequentially selected four alternatives (best, worst; second-best, second-worst) for eight BWS tasks ( n = 32,000 choice observations). A scale multinomial logit model was used to estimate the preference parameters and to test for fatigue and learning. Results. The most and least preferred attribute-levels were “I have as much control over my daily life as I want” and “I have no control over my daily life.” The preference weights were not on a cardinal scale. The ordering effect was related to the second-best choices. Learning effect was in the last four tasks. Conclusions. This study has developed a set of preference weights for the ASCOT instrument in Finland, which can be used for investigating outcomes of social care interventions on adult populations. The learning effect calls for the development of study designs that reduce possible bias relating to preference uncertainty at the beginning of sequential BWS tasks. It also supports the adaptation of a modelling strategy in which the sequence of tasks is explicitly modelled as a scale factor.

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Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 10 publications

References 42 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

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

Do You Prefer Safety to Social Participation? Finnish Population-Based Preference Weights for the Adult Social Care Outcomes Toolkit (ASCOT) for Service Users

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