Abstract
BackgroundThe key part of home care services is the assessment of the needs of the home environment for older adults with dementia. The present study was conducted to evaluate the psychometric properties of a newly adapted Chinese version of an instrument designed to measure aging transformation needs among older adults with dementia.MethodsA sample of 175 older adults with dementia was selected from ten communities in China. The 55-item aging transformation needs scale was answered by the participants. Content validity, Cronbach’s alpha, item-to-total correlation, and exploratory factor analysis were used to assess the reliability and validity of the instrument.ResultsThe aging transformation needs scale has a good surface validity, content validity, and structural validity. The content validity was 0.965; 55 items had large factor loads on their corresponding principal components (≥0.5). There was a significant correlation between the aging transformation needs scale and each component (r = 0.897–0.973, all P< 0.01), and 9 components also had a high correlation (r = 765~0.977, all P< 0.01); the total table Cronbach’s α was 0.993, the Cronbach’s α of each constituent factor was 0.944~0.990, and the correlation coefficient between factor and content was > 0.40 (all P< 0.01).ConclusionsEvidence was found to support the reliability and validity of the aging transformation needs scale that measures the quality of the aging transformation needs for older adults with dementia from an aging transformation needs perspective.
Highlights
The key part of home care services is the assessment of the needs of the home environment for older adults with dementia
The inclusion criteria were as follows: a. individuals older than 60 years of age from local households; b. those who met the diagnostic criteria for dementia as per the American Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, and were diagnosed by relevant specialists; and c. those who were mainly at home for care
All of the subjects suffered from dementia and their ages ranged from 60 to 98 years old, with an average age of 78.67 years
Summary
The key part of home care services is the assessment of the needs of the home environment for older adults with dementia. Dementia is a progressive degenerative disease of the central nervous system. It is the main clinical manifestation of progressive memory impairments, general mental decline, personality changes, and mental behavior abnormalities [1]. Homecare involves older adults who live in their homes and not in old-age care institutions [2]. This model is currently the most important pension model in China [2]. The home environment is an important supporting means for home-based care services.
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