Development of an Item Pool for a Needs-Based Measure of Quality of Life of Carers of a Family Member with Dementia.


Journal

The patient
ISSN: 1178-1661
Titre abrégé: Patient
Pays: New Zealand
ID NLM: 101309314

Informations de publication

Date de publication:
02 2019
Historique:
pubmed: 14 10 2018
medline: 14 5 2019
entrez: 14 10 2018
Statut: ppublish

Résumé

This paper describes the development of an item pool for a needs-based self-report outcome measure of the impact of caring for a relative, friend or neighbour with dementia on carer quality of life. The aims are to give a detailed account of the steps involved and describe the resulting item pool. Seven steps were followed: generation of an initial item set drawing on 42 needs-led interviews with carers; a content and face validity check; assessment of psychometric potential; testing of response formats; pre-testing through cognitive interviews with 22 carers; administration rehearsal with two carers; and final review. An initial set of 99 items was refined to a pool of 70 to be answered using a binary response format. Items were excluded due to overlap with others, ceiling effects, ambiguity, dependency on function of the person with dementia or two-part phrasing. Items retained covered a breadth of areas of impact of caring and were understandable and acceptable to respondents. The resulting dementia carer-specific item pool reflects the accounts of a diverse sample of those who provide care for a person with dementia, allowing them to define the nature of the impact on their lives and resulting in a valid, acceptable set of items.

Sections du résumé

BACKGROUND AND OBJECTIVES
This paper describes the development of an item pool for a needs-based self-report outcome measure of the impact of caring for a relative, friend or neighbour with dementia on carer quality of life. The aims are to give a detailed account of the steps involved and describe the resulting item pool.
METHODS
Seven steps were followed: generation of an initial item set drawing on 42 needs-led interviews with carers; a content and face validity check; assessment of psychometric potential; testing of response formats; pre-testing through cognitive interviews with 22 carers; administration rehearsal with two carers; and final review.
RESULTS
An initial set of 99 items was refined to a pool of 70 to be answered using a binary response format. Items were excluded due to overlap with others, ceiling effects, ambiguity, dependency on function of the person with dementia or two-part phrasing. Items retained covered a breadth of areas of impact of caring and were understandable and acceptable to respondents.
CONCLUSIONS
The resulting dementia carer-specific item pool reflects the accounts of a diverse sample of those who provide care for a person with dementia, allowing them to define the nature of the impact on their lives and resulting in a valid, acceptable set of items.

Identifiants

pubmed: 30315554
doi: 10.1007/s40271-018-0334-4
pii: 10.1007/s40271-018-0334-4
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

125-136

Subventions

Organisme : Medical Research Council
ID : MR/M025179/1
Pays : United Kingdom
Organisme : National Institute for Health Research
ID : MR/M025179/1
Pays : International

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Auteurs

Jan R Oyebode (JR)

Centre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK. j.oyebode@bradford.ac.uk.

Simon Pini (S)

Section of Patient Centred Outcome Research, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.

Emma Ingleson (E)

Section of Patient Centred Outcome Research, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.

Molly Megson (M)

Section of Patient Centred Outcome Research, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.

Mike Horton (M)

Psychometric Laboratory for Health Sciences, Faculty of Medicine and Health, University of Leeds, Leeds, UK.

Linda Clare (L)

The Centre for Research in Ageing and Cognitive Health, Medical School, University of Exeter, Exeter, UK.

Hareth Al-Janabi (H)

Health Economics Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, UK.

Carol Brayne (C)

Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.

Penny Wright (P)

Section of Patient Centred Outcome Research, Leeds Institute of Cancer and Pathology, University of Leeds, Leeds, UK.

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