TY - JOUR
T1 - Development of a Screening Scale for Community-dwelling Older Adults with Multiple Care Needs
AU - Chen, Meng Chin
AU - Chen, Kuei Min
AU - Wang, Jing Jy
AU - Hsu, Hui Fen
N1 - Funding Information:
Sincere appreciation is directed by our group to the Ministry of Science and Technology, Taiwan for funding this study (MOST107-2314-B-037-009-MY3), to Professor Frank Belcastro for his superlative manuscript editing, and to the 10 experts in the Delphi panel and the 40 volunteers in the community care stations for their generous participation.
Publisher Copyright:
© 2020, © 2020 Taylor & Francis Group, LLC.
PY - 2020/5/3
Y1 - 2020/5/3
N2 - Objectives: To develop a screening scale for community-dwelling older adults with multiple care needs. Methods: A modified Delphi was employed; 10 experts were invited to evaluate the relevancy, clarity, and suitability of the scale. A descriptive evaluation survey was tested on the screening scale users who were community volunteers to evaluate the clarity, relevance, and usefulness of the scale using a 10-point rating system. Confirmatory factor analysis was applied to determine the suitability of the factorial structure of the HCOASS. The internal consistency was examined using Kuder-Richardson Formula 20. A suitable cutoff point was developed using receiver operating characteristic analysis. Results: In the first round of the modified Delphi, the item-level content validity index (I-CVI) on the content relevance, item clarity, and suitability of the scale were all higher than.90,.80, and.80, respectively. In the second round, the scores for content relevancy, item clarity, and suitability were all 1.0. Community volunteers rated highly on the scale. The result of the confirmatory factor analysis indicated a good fit. The internal consistency reliability was satisfactory. The area under curve (AUC), sensitivity, and specificity for cutoff score of 6/7 were.91, 88%, and 81%, respectively. Conclusions: The screening scale demonstrated adequate reliability, content validity, and discriminant validity. Clinical Implications: The screening scale would serve as a reference for community volunteers in the identification of community-dwelling older adults with multiple care needs.
AB - Objectives: To develop a screening scale for community-dwelling older adults with multiple care needs. Methods: A modified Delphi was employed; 10 experts were invited to evaluate the relevancy, clarity, and suitability of the scale. A descriptive evaluation survey was tested on the screening scale users who were community volunteers to evaluate the clarity, relevance, and usefulness of the scale using a 10-point rating system. Confirmatory factor analysis was applied to determine the suitability of the factorial structure of the HCOASS. The internal consistency was examined using Kuder-Richardson Formula 20. A suitable cutoff point was developed using receiver operating characteristic analysis. Results: In the first round of the modified Delphi, the item-level content validity index (I-CVI) on the content relevance, item clarity, and suitability of the scale were all higher than.90,.80, and.80, respectively. In the second round, the scores for content relevancy, item clarity, and suitability were all 1.0. Community volunteers rated highly on the scale. The result of the confirmatory factor analysis indicated a good fit. The internal consistency reliability was satisfactory. The area under curve (AUC), sensitivity, and specificity for cutoff score of 6/7 were.91, 88%, and 81%, respectively. Conclusions: The screening scale demonstrated adequate reliability, content validity, and discriminant validity. Clinical Implications: The screening scale would serve as a reference for community volunteers in the identification of community-dwelling older adults with multiple care needs.
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U2 - 10.1080/07317115.2020.1716127
DO - 10.1080/07317115.2020.1716127
M3 - Article
C2 - 31955663
AN - SCOPUS:85078315415
SN - 0731-7115
VL - 43
SP - 308
EP - 319
JO - Clinical Gerontologist
JF - Clinical Gerontologist
IS - 3
ER -