Abstract
BackgroundAging entails not only a decrease in the ability to be active, but also a trend toward increased dependence to sustain basic life functions. An important aspect for appropriately elucidating the individual's care needs is the ability to measure them both simply and reliably. Since 2006 a new version of the Time in Care needs (TIC-n) instrument (19-item version) has been explored and used in one additional municipality with the same structure as the one described in an earlier study.MethodsThe TIC-n assessment was conducted on a total of 1282 care recipients. Factor analysis (principal component) was applied to explore the construct validity of the TIC-n. Cronbach's alpha was calculated to test reliability and for each of the items remaining in the instrument after factor analysis, an inter-rater comparison was carried out on all recipients in both municipalities. Independently of each other, a weighted Kappa (Kw) was calculated. Results. The mean of each weighted Kappa (Kw) for the dimensions in the two municipalities was 0.75 and 0.76, respectively. Factor analysis showed that all 19 items had a factor loading of ≥ 0.40. Three factors (General Care, Medical Care and Cognitive Care) were created.ConclusionThe TIC-n instrument has now been tested for validity and reliability in two municipalities with satisfactory results. However, TIC-n can not yet be used as a golden standard, but it can be recommended for use of measurement of individual care needs in municipal elderly care.
Highlights
Aging entails a decrease in the ability to be active, and a trend toward increased dependence to sustain basic life functions
The results show that 11 items were loaded into General Care (m = 1.6; range 0.22 – 2.53) and seven items were loaded into Cognitive Care (m = 1.4; range 0.58 – 2.33)
There was a great difference in sample size between the first and second factor analyses, 505 and 1282, respectively. This fact may explain why four items (Wound-treatment, Rehabilitation, Administration of drugs and Catheter/stoma) changed factor dependence from Medical Care to General Care. These four items which changed from Medical Care to General Care were not distinguished as medical in comparison with Injection which remained in Medical Care in the second factor analysis
Summary
Aging entails a decrease in the ability to be active, and a trend toward increased dependence to sustain basic life functions. Different methods have been developed to measure care needs, but these are usually tailored to the local healthcare systems and are related to disease diagnoses. They omit many essential areas such as the psychosocial field. To reflect the care need within the municipal healthcare system the Katzinstrument was expanded to comprise one section which highlights a number of daily activities such as laundry, cleaning and cooking Through this expansion, the ADLscale came into practice within healthcare assessment in Sweden. Different reports concerning care assessment have included The EQ5D and The Berthel Scale [11] These instruments solely measure perceived quality of life. This is the main reason why a new instrument has been developed
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
