Assessment of Person-Centered Care in Gerontology Servicesa new tool for healthcare professionals

  1. Teresa Martínez 1
  2. Victor Martínez-Loredo 2
  3. Marcelino Cuesta 2
  4. José Muñiz 2
  1. 1 Principado de Asturias
  2. 2 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
International journal of clinical and health psychology

ISSN: 1697-2600

Año de publicación: 2020

Volumen: 20

Número: 1

Páginas: 62-70

Tipo: Artículo

DOI: 10.1016/J.IJCHP.2019.07.003 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: International journal of clinical and health psychology

Resumen

Antecedentes/Objetivo: Las residencias y otros servicios gerontológicos son frecuentemente criticados por su falta de flexibilización y personalización en la atención, conduciendo a un trato uniforme que dificulta el control sobre sus vidas. El objetivo del trabajo es desarrollar y validar el primer instrumento de medida español que permite a los profesionales de la salud evaluar en qué medida se lleva a cabo en su centro una atención centrada en la persona. Método: Participaron en el estudio 844 profesionales de la salud (edad media=39,94; DT=10,56) con una experiencia media de 6,56 años (DT=6,15). Las propiedades psicométricas del instrumento desarrollado se analizaron mediante modelos de Teoría Clásica de los Test y de Teoría de Respuesta a los Ítems. Resultados: La prueba resultó esencialmente unidimensional, con un primer factor que explica el 55,23% de la varianza. La fiabilidad es excelente, tanto la consistencia interna (α=0,96, ω=0,96) como la estabilidad (r=0,88; ICC=0,93). La puntuación total correlacionó significativamente con dos cuestionarios similares, obteniéndose una varianza asociada de 58,83% y 55,20%, respectivamente. Conclusiones: El nuevo instrumento desarrollado permite a los profesionales de la salud evaluar con excelente fiabilidad y validez el nivel de atención centrada en la persona de los centros gerontológicos.

€ Ver financiación

Información de financiación

This study was supported by the Ministry of Economy and Competitiveness [grant number PSI2017-85724-P]; a postdoctoral grant funded by the National Agency of Research of the Spanish Ministry of Science, Innovation and Universities [grant number BES-2015-073327]. The funding entities played no role in the study design, data collection, analysis or interpretation of the results.

Financiadores

Referencias bibliográficas

  • American Educational Research Association, American Psychological Association, and National Council on Measurement in Education (2014). Standards for educational and psychological testing. Washington, DC: Author.
  • Bowman, C.S., & Schoeneman, C. (2006). The development of the artifacts of culture change tool. Retrieved from www.artifactsofculturechange.org.
  • Brandolim, N., Neves, S., Viseu, J. N., Stobäus, C. D., Guerreiro, M., & Domingues, R. B. (2018). Depression and quality of life in older adults: Mediation effect of sleep quality. International Journal of Clinical and Health Psychology, 18, 8---17. http://dx.doi.org/10.1016/j.ijchp.2017.10.002
  • Brooker, D., & Surr, C. (2007). Dementia care mapping: Principper og praksis. Birkerød: University of Bradford & Daniae.
  • Calderón, C., Navarro, D., Lorenzo-Seva, U., & Ferrando, P.J. (2019). Multidimensional or essentially unidimensional? A multi-faceted factor-analytic approach for assessing the dimensionality of tests and items. Psicothema. In press.
  • Colomina, M. T., Sánchez-Santed, F., Conejo, N. M., Collado, P., Salvador, A., Gallo, M., Pinos, H., Salas, C., Navarro, J. F., Adán, A., Azpiroz, A., & Arias, J. L. (2018). The Psychoexposome: A holistic perspective beyond health and disease. Psicothema, 30, 5---7. http://dx.doi.org/10.7334/psicothema2017.244
  • Cuesta, M., & Fonseca-Pedrero, E. (2014). Estimating the reliability coefficient of tests in presence of missing values. Psicothema, 26, 516---523.
  • Cuesta, M., Fonseca-Pedrero, E., Vallejo, G., & Mu˜niz, J. (2013). Datos perdidos y propiedades psicométricas en los tests de personalidad. Anales de Psicología, 29, 285---292, 10.6018/analesps.29.1.137901
  • de Silva, D. (2014). Helping measure person-centred care. London: The Health Foundation.
  • Downing, S. M. (2006). Twelve steps for effective test development. In S. M. Downing, & T. M. Haladyna (Eds.), Handbook of test development. (pp. 3---25). Mahwah, NJ: Lawrence Erlbaum Associates.
  • Downing, S. M., & Haladyna, T. M. (2006). Handbook of test development. Mahwah, NJ: Lawrence Erlbaum Associates. Drasgow, F. (2016). Technology and testing. New Yorkm NY: Routledge.
  • Edvardsson, D., Fetherstonhaugh, D., & Gibson, S. (2010). Development and initial testing of the person-centered care assessment tool (PCCT). International Psychogerontology, 22, 101---108. http://dx.doi.org/10.1017/S1041610209990688 Edvardsson, D., & Innes, A. (2010). Measuring person-centered care: A critical comparative review of published tools. The Gerontologist, 50, 834---846, https://doi.org/10.1093/geront/ gnq047
  • Edvardsson, D., Sandman, P. O., & Borell, L. (2014). Implementing national guidelines for person-centered care of people with dementia in residential aged care: Effects on perceived person-centeredness, staff strain, and stress of conscience. International Psychogerontologys, 26, 1171---1179. http://dx.doi.org/10.1017/S1041610214000258
  • Ferrando, P. J., & Lorenzo-Seva, U. (2017). Program factor at 10: Origins, development and future directions. Psicothema, 29, 236---240, 10.7334/psicothema2016.304.
  • Ferrando, P. J., & Lorenzo-Seva, U. (2018). Assessing the quality and appropriateness of factor solutions and factor score estimates in exploratory item factor analysis. Educational and Psychological Measurement, 78, 762---780, 10.1177/0013164417719308.
  • International Test Commission ITC. ITC Guidelines on Test Use, 2013, Retrieved from www.intestcom.org/files/guideline_test_use.pdf2013
  • Irwing, P. (2018). The Wiley handbook of psychometric testing: A multidisciplinary reference on survey scale and test development. London: John Wiley & Sons Ltd.
  • Jütten, L. H., Mark, R. E., & Sitskoorn, M. M. (2019). Empathy in informal dementia caregivers and its relationship with depression, anxiety, and burden. International Journal of Clinical and Health Psychology, 19, 12---21. http://dx.doi.org/10.1016/j.ijchp.2018.07.004
  • Kim, H. (2013). Statistical notes for clinical researchers: Assessing normal distribution (2) using skewness and kurtosis. Restorative Dentistry & Endodontics, 38, 52---54, 10.5395/rde.2013.38.1.52
  • Kline, R. B. (2011). Methodology in the Social Sciences. Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford Press.
  • Koren, M. J. (2010). Person-centered care for nursing home residents: The culture-change movement. Health Affairs, 29, 312---317, 10.1377/hlthaff.2009.0966.
  • Lane, S., Raymond, M. R., & Haladyna, T. M. (2016). Handbook of test development (2nd ed.). New York, NY: Routledge.
  • Lorenzo-Seva, U., & Ferrando, P. J. (2013). FACTOR 9.2 a comprehensive program for fitting exploratory and semiconfirmatory factor analysis and IRT models. Applied Psychological Measurement, 37, 497---498, 10.1177/0146621613487794.
  • Martínez, T. (2017). Evaluación de los servicios gerontológicos: un nuevo modelo basado en la Atención Centrada en la Persona. Revista Argentina de Gerontología y Geriatría, 31, 83---89.
  • Martínez, T. (2018). Person-centered care implementation and assessment in gerontological services: The PCC-gerontology model. Health, Aging & End of Life, 3, 9---33.
  • Martínez, T., Suárez-Álvarez, J., & Yanguas, J. (2016). Instruments for assessing Person Centered Care in Gerontology. Psicothema, 28, 114---121, 10.7334/psicothema2015.263.
  • Martínez, T., Suárez-Álvarez, J., Yanguas, J., & Muñiz, J. (2016a). Spanish validation of the Person-centered Care Assessment Tool (P-CAT). Aging & Mental Health, 20, 1---9. http://dx.doi.org/10.1080/13607863.2015.1023768
  • Martínez, T., Suárez-Álvarez, J., Yanguas, J., & Muñiz, J. (2016b). The person centered approach in gerontology: New validity evidence of the Staff Assessment Person-directed Care Questionnaire. International Journal of Clinical and Health Psychology, 16, 175---185. http://dx.doi.org/10.1016/j.ijchp.2015.12.001
  • McCormack, B. (2004). Person-centeredness in gerontological nursing: An overview of the literature. International Journal of Older People Nursing, 13, 31---38. http://dx.doi.org/10.1111/j.1365-2702.2004.00924.x
  • Muñiz, J., & Fonseca-Pedrero, E. (2019). Diez pasos para la construcción de un test. Psicothema, 31, 7---16, 10.7334/psicothema2018.291
  • Muthén, L. K., & Muthén, B. O. (2017). Mplus User’s Guide. Eighth Edition. Los Angeles, CA: Muthén & Muthén.
  • Oliden, P. E., & Zumbo, B. D. (2008). Coeficientes de fiabilidad para escalas de respuesta categórica ordenada. Psicothema, 20, 896---901.
  • Ree, E., Wii, S., Manser, T., & Storm, M. (2019). How is patient involvement measured in patient centeredness scales for health professionals? A systematic review of their measurement properties and content. BMC, Health Services Research, 19, 12, 10.1186/s1293-018-33798-y
  • Røn, I., Kirkevold, Ø., Testad, I., Selbaek, G., Engeldad, K., & Bergh, S. (2018). Person-centered care in Norwegian nursing homes and its relation to organizational factors and staff characteristics: A cross-sectional survey. International Psychogerontologys, 30, 1279---1290. http://dx.doi.org/10.1017/S1041610217002708
  • Samejima, F. (1968). Estimation of latent ability using a response pattern of graded scores. Psychometric Monographs, 17, 159. http://dx.doi.org/10.1002/j.2333-8504.1968.tb00153.x
  • Sapranaviciute-Zabazlajeva, L., Luksiene, D., Virviciute, D., Kranciukaite-Butylkiniene, D., Bobak, M., & Tamosiunas, A. (2018). Changes in psychological well-being among older Lithuanian city dwellers: Results from a cohort study. International Journal of Clinical and Health Psychology, 18, 218---226. http://dx.doi.org/10.1016/j.ijchp.2018.05.002
  • Schürmann, J., & Margraf, J. (2018). Age of anxiety and depression revisited: A meta-analysis of two European community samples (1964-2015). International Journal of Clinical and Health Psychology, 18, 102---112. http://dx.doi.org/10.1016/j.ijchp.2018.02.002
  • Suárez-Álvarez, J., Pedrosa, I., Lozano, L. M., García-Cueto, E., Cuesta, M., & Muñiz, J. (2018). Using reversed items in Likert scales: A questionable practice. Psicothema. 30, 149---158, 10.7334/psicothema2018.33
  • Timmerman, M. E., & Lorenzo-Seva, U. (2011). Dimensionality assessment of ordered polytomous items with parallel analysis. Psychological Methods, 16, 209---220, 10.1037/a0023353.
  • van den Pol-Grevelink, A., Jukema, J. S., & Smits, C. H. (2012). Person-centred care and job satisfaction of caregivers in nursing homes: A systematic review of the impact of different forms of person-centred care on various dimensions of job satisfaction. International Journal of Gerontology Psychiatry, 27, 219---229, 10.1002/gps.2719.
  • van der Linden, W. (2016). Handbook of item response theory. Boca Ratón, FL: Chamman & Hall/CRC.
  • van Haitsma, K., Crespy, S., Humes, S., Elliot, E., Mihelic, A., Curyto, K., Spector, A., Esharaghi, K., Duntzee, C., Reamy, A., & Abbot, K. (2014). New toolkit to measure quality of person-centered care: Development and pilot evaluation with nursing home communities. Journal of the Society for Post-Acute and Long-Term Care Medicine (JAMDA), 15, 671---680, 10.1016/j.jamda.2014.02.004
  • Vila, J., Villar, F., Celdrán, M., & Fernández, E. (2012). El modelo de la atención centrada en la persona: análisis descriptivo de una muestra de personas mayores con demencia en centros residenciales. Aloma, 30, 109---117.
  • Villegas, G., González, N., Sánchez-García, A. B., Sánchez-Barba, M., & Galindo-Villardón, M. P. (2018). Seven methods to determine the dimensionality of tests: Application to the General Self-Efficacy Scale in twenty-six countries. Psicothema, 30, 442---448, 10.7334/psicothema2018.113
  • White, D. L., Newton-Curtis, L., & Lyons, K. S. (2008). Development and Initial Testing of a Measure of Person-Directed Care. The Gerontologist, 48, 114---123. http://dx.doi.org/10.1093/geront/48.Supplement 1.114
  • Wilson, M. (2005). Constructing measures: An item response modelling approach. Mahwah, NJ: Lawrence Erlbaum Associates. World Health Organization WHO. (2015). WHO global strategy on people-centred and integrated health services. Geneva: WHO. Service Delivery and Safety.
  • Wylie, K., Madjar, I., & Walton, J. (2002). Dementia care mapping: A person-centred approach to improving the quality of care in residential settings. Geriaction, 20, 5---9.
  • Zimmerman, S., Shier, V., & Saliba, D. (2014). Transforming nursing home culture: Evidence for practice and policy. The Gerontologist 54, S1, S1-S5. doi: 10.1093/geront/gnt161.
  • Zubritsky, C., Abbott, K. M., Hirschman, K. B., Bowles, K. H., Foust, J. B., & Naylor, M. D. (2013). Health-related quality of life: Expanding a conceptual framework to include older adults who receive long-term services and supports. The Gerontologist, 53, 205---210, 10.1093/geront/gns093
Fuente de los datos: Dialnet