Social care-related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users.

ASCOT Finland assessment construct validity quality of life social care outcomes

Journal

Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359

Informations de publication

Date de publication:
05 2021
Historique:
revised: 22 12 2020
received: 22 11 2019
accepted: 30 12 2020
pubmed: 28 2 2021
medline: 3 11 2021
entrez: 27 2 2021
Statut: ppublish

Résumé

The Adult Social Care Outcomes Toolkit four response-level interview schedule (ASCOT INT4) for service users was translated into Finnish. The aim of this paper was to investigate the construct validity and structural characteristics of the Finnish ASCOT. We used data from a face-to-face interview survey of older people receiving publicly funded home care services, which was conducted in 2016-2017 (n = 493), excluding missing values and proxy respondents (n = 334). Chi-square tests, adjusted residuals and analyses of variance were used to examine hypothesised associations between each attribute and a number of relevant variables regarding health and well-being, disabilities, living arrangements, social contact and support, experience of service use, and the nature of the locality and environment. Structural characteristics were explored using exploratory factor analysis and Cronbach's alpha test. The EQ-5D-3L and ASCOT were moderately correlated (r = 0.429; p < 0.001). The ASCOT attributes were statistically positively related to the overall quality of life. For other tested variables, we found a high number of significant associations with the control over daily life, occupation, social participation, and personal cleanliness attributes, but fewer significant associations with the other attributes. Cronbach's alpha was 0.697 and a single factor was extracted. This assessment provides evidence to support the construct validity of the Finnish ASCOT. The results support the introduction of the Finnish ASCOT into Finland for use in practical applications. Future research on its reliability would be useful.

Identifiants

pubmed: 33639030
doi: 10.1111/hsc.13328
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

712-728

Informations de copyright

© 2021 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.

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Auteurs

Lien Nguyen (L)

Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Ismo Linnosmaa (I)

Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland.

Hanna Jokimäki (H)

Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Stacey Rand (S)

Personal Social Services Research Unit (PSSRU), University of Kent, Canterbury, United Kingdom.

Juliette Malley (J)

Personal Social Services Research Unit (PSSRU), London School of Economics and Political Science, London, United Kingdom.

Kamilla Razik (K)

Personal Social Services Research Unit (PSSRU), University of Kent, Canterbury, United Kingdom.

Birgit Trukeschitz (B)

Research Institute for Economics of Aging, WU Vienna University of Economics and Business, Vienna, Austria.

Julien Forder (J)

Personal Social Services Research Unit (PSSRU), University of Kent, Canterbury, United Kingdom.

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