Testing the Validity and Reliability of a Newly Developed Instrument to Assess the Subjective Needs of Institutionalized Elderly

Ohura, Tomoko; Higashi, Takahiro; Ishizaki, Tatsuro; Nakayama, Takeo

doi:10.1080/07317115.2014.973132

Cited by 2 publications

(8 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We conducted a pairwise cross-sectional study using a 25-item questionnaire [ 10 ] to measure both the subjective needs of older facility residents and care workers’ understanding of residents’ needs.…”

Section: Methodsmentioning

confidence: 99%

“…We evaluated the activities that residents wished to perform using a 25-item questionnaire [ 10 ], which was developed based on semi-structured interviews with care providers regarding care goals (2006) [ 11 ] and consideration of previous studies [ 12 , 13 ]. The questionnaire encompassed the following four areas: basic activities of daily living (BADL), instrumental activities of daily living (IADL), environment and lifestyle (EL), and emotion (EM).…”

Section: Methodsmentioning

confidence: 99%

“…Residents were asked to grade each item using a five-point Likert scale (5: “strongly agree”, 4: “agree”, 3: “neutral”, 2: “disagree”, 1: “strongly disagree”) (Additional file 1 ). The questionnaire was validated using data collected in this study (n = 120, = 1.090, RMSEA = 0.03; all standardized path coefficients ranged from 0.28 to 0.87), and was determined to be reproducible using data collected in 2011 (n = 18; 14 of 25 items showed weighted kappa coefficients ≥0.60) [ 10 ]. This questionnaire [ 10 ] was also used to assess how care workers understood the needs of each resident (Additional file 2 ).…”

Section: Methodsmentioning

confidence: 99%

“…When considering care quality, comprehensive and efficient measures of care quality for older people have been developed [ 7 ], and some studies have advocated that care providers should understand the individual needs of those they care for [ 8 , 9 ]. To better understand the subjective needs of aged care facility residents, a 25-item instrument for care providers to assess older people’s needs [ 10 ] was developed based on an interview study [ 11 ]. This instrument showed satisfactory factorial validity, internal consistency, and reproducibility in the context of assessing the subjective needs of institutionalized older people [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…To better understand the subjective needs of aged care facility residents, a 25-item instrument for care providers to assess older people’s needs [ 10 ] was developed based on an interview study [ 11 ]. This instrument showed satisfactory factorial validity, internal consistency, and reproducibility in the context of assessing the subjective needs of institutionalized older people [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Gaps between the subjective needs of older facility residents and how care workers understand them: a pairwise cross-sectional study

Ohura

Higashi²,

Ishizaki

et al. 2016

BMC Res Notes

Self Cite

View full text Add to dashboard Cite

Background: To promote active daily living and improve the quality of life of older facility residents, it is important that care staff understand their day-to-day activities and needs. However, only a few studies have examined the needs of older residents and how care workers understand them. This study aimed to examine the subjective needs of older residents at aged care facilities, care workers' understanding of these needs, and the gaps that exist between them.Methods: Structured interviews with older residents with no severe cognitive impairment in ten Japanese aged care facilities and a questionnaire survey of care workers were conducted in 2008 regarding resident subjective needs. The questionnaire, which had satisfactory factorial validity, internal consistency, and reproducibility, consisted of seven items on basic activities of daily living (BADL), five items on instrumental ADL (IADL), eight items on environment and lifestyle (EL), and five items on emotion (EM). Pair-wise analyses were performed to compare responses. Results:Responses of 115 pairs were analyzed (residents ≥75 years, 85 %; 21 men, 94 women). Median proportions of residents with IADL (66 %) and EL (69 %) needs were lower compared with those with BADL (83 %) and EM (91 %) needs. Median proportions of care workers understanding IADL (55 %) and EL (60 %) needs were lower compared with those understanding BADL (87 %) and EM (87 %) needs. Less than half of the care workers understood IADL needs for household chores (30 %) and money management (43 %), and an EL need for playing a role (41 %). Conclusions:Gaps were found between resident subjective needs and how care workers understood them. Specifically, care workers underestimated older residents' IADL and EL needs, especially with regard to playing a role. These results highlight the need for care workers to set goals based on each resident's subjective needs and plan strategies for care provision accordingly.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Gaps between the subjective needs of older facility residents and how care workers understand them: a pairwise cross-sectional study

Ohura

Higashi²,

Ishizaki

et al. 2016

BMC Res Notes

Self Cite

View full text Add to dashboard Cite

show abstract

Occupation-based differences in shared perceptions of older resident needs within multidisciplinary care teams: a cross-sectional study of care workers, nurses, and therapists linked to older residents

Ohura

Higashi²,

Ishizaki

et al. 2018

J Phys Ther Sci

Self Cite

View full text Add to dashboard Cite

[Purpose] To examine whether the needs of older individuals are commonly understood by multidisciplinary team members at elderly care facilities. [Subjects and Methods] A questionnaire survey with care workers, nurses, and therapists linked to residents and structured interviews with residents were conducted at eight facilities in Japan. The questionnaire comprised 25 items regarding basic activities of daily living, instrumental activities of daily living (IADL), environment and lifestyle (EL), and emotion. [Results] The data of 88 residents (83.0% female, 86.4% aged ≥75 years) and 125 staff members (63 care workers, 36 nurses, and 26 therapists) were analyzed. Perceptions regarding the subjective needs of residents differed significantly by occupation with regard to pace of eating, pace of dressing, and freedom to brush at any time; shaving or putting on make-up; personal space, role performance, and health exercises; and feeling good. All three occupations underestimated the subjective needs of residents for household chores. [Conclusion] Staff members had insufficient understanding of the subjective needs of residents, with a tendency to underestimate IADL and EL needs. Perceived subjective needs also differed by occupation. Sharing the understanding of subjective needs of older individuals within multidisciplinary care teams is desired.

show abstract

Testing the Validity and Reliability of a Newly Developed Instrument to Assess the Subjective Needs of Institutionalized Elderly

Cited by 2 publications

References 37 publications

Gaps between the subjective needs of older facility residents and how care workers understand them: a pairwise cross-sectional study

Gaps between the subjective needs of older facility residents and how care workers understand them: a pairwise cross-sectional study

Occupation-based differences in shared perceptions of older resident needs within multidisciplinary care teams: a cross-sectional study of care workers, nurses, and therapists linked to older residents

Contact Info

Product

Resources

About