Development and testing of the resistiveness to care scale
A conceptual model and objective scale for measuring resistiveness to care in individuals with advanced dementia of the Alzheimer type (DAT) were empirically generated from the perspective of nursing staff caregivers and through observation of residents with DAT. The resistiveness to care scale (RTC...
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Veröffentlicht in: | Research in nursing & health 1999-02, Vol.22 (1), p.27-38 |
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creator | Mahoney, Ellen K. Hurley, Ann C. Volicer, Ladislav Bell, Margaret Gianotis, Patricia Hartshorn, Margaret Lane, Patricia Lesperance, Roberta MacDonald, Sally Novakoff, Lisa Rheaume, Yvette Timms, Roland Warden, Victoria |
description | A conceptual model and objective scale for measuring resistiveness to care in individuals with advanced dementia of the Alzheimer type (DAT) were empirically generated from the perspective of nursing staff caregivers and through observation of residents with DAT. The resistiveness to care scale (RTC‐DAT) was judged to have content validity and reduced to 13 items. Quantifiable scoring procedures and methods for rating videotapes and conducting clinical observations were developed. The RTC‐DAT was tested with 68 subjects at three sites. The RTC has a range of 0–156. Initial testing provided reliability estimates of .82–.87 for internal consistency and good to excellent kappas. Criterion‐related validity with observed discomfort and construct validity by factor analysis support the RTC‐DAT. Measurement issues and recommendations for use in research are discussed. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22: 27–38, 1999. |
doi_str_mv | 10.1002/(SICI)1098-240X(199902)22:1<27::AID-NUR4>3.0.CO;2-T |
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The resistiveness to care scale (RTC‐DAT) was judged to have content validity and reduced to 13 items. Quantifiable scoring procedures and methods for rating videotapes and conducting clinical observations were developed. The RTC‐DAT was tested with 68 subjects at three sites. The RTC has a range of 0–156. Initial testing provided reliability estimates of .82–.87 for internal consistency and good to excellent kappas. Criterion‐related validity with observed discomfort and construct validity by factor analysis support the RTC‐DAT. Measurement issues and recommendations for use in research are discussed. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22: 27–38, 1999.</description><identifier>ISSN: 0160-6891</identifier><identifier>EISSN: 1098-240X</identifier><identifier>DOI: 10.1002/(SICI)1098-240X(199902)22:1<27::AID-NUR4>3.0.CO;2-T</identifier><identifier>PMID: 9928961</identifier><language>eng</language><publisher>New York: John Wiley & Sons, Inc</publisher><subject>Activities of Daily Living ; Aged ; Agonistic Behavior ; Alzheimer Disease - nursing ; Alzheimer Disease - psychology ; Alzheimer's disease ; behavior ; Biological and medical sciences ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; ethology ; Factor Analysis, Statistical ; Geriatric Assessment ; Humans ; instrument development ; Medical sciences ; Models, Nursing ; Neurology ; Nursing ; Nursing Assessment - methods ; Nursing Methodology Research ; Nursing Staff - psychology ; Psychometrics ; Reproducibility of Results ; Sensitivity and Specificity ; Treatment Refusal - psychology ; Videotape Recording</subject><ispartof>Research in nursing & health, 1999-02, Vol.22 (1), p.27-38</ispartof><rights>Copyright © 1999 John Wiley & Sons, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4254-f3c6c5dd465aa48930e96d5c36f8836b03ea12491df1bdc2b268701c12d4b3f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291098-240X%28199902%2922%3A1%3C27%3A%3AAID-NUR4%3E3.0.CO%3B2-T$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291098-240X%28199902%2922%3A1%3C27%3A%3AAID-NUR4%3E3.0.CO%3B2-T$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1672275$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9928961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mahoney, Ellen K.</creatorcontrib><creatorcontrib>Hurley, Ann C.</creatorcontrib><creatorcontrib>Volicer, Ladislav</creatorcontrib><creatorcontrib>Bell, Margaret</creatorcontrib><creatorcontrib>Gianotis, Patricia</creatorcontrib><creatorcontrib>Hartshorn, Margaret</creatorcontrib><creatorcontrib>Lane, Patricia</creatorcontrib><creatorcontrib>Lesperance, Roberta</creatorcontrib><creatorcontrib>MacDonald, Sally</creatorcontrib><creatorcontrib>Novakoff, Lisa</creatorcontrib><creatorcontrib>Rheaume, Yvette</creatorcontrib><creatorcontrib>Timms, Roland</creatorcontrib><creatorcontrib>Warden, Victoria</creatorcontrib><title>Development and testing of the resistiveness to care scale</title><title>Research in nursing & health</title><addtitle>Res. Nurs. Health</addtitle><description>A conceptual model and objective scale for measuring resistiveness to care in individuals with advanced dementia of the Alzheimer type (DAT) were empirically generated from the perspective of nursing staff caregivers and through observation of residents with DAT. The resistiveness to care scale (RTC‐DAT) was judged to have content validity and reduced to 13 items. Quantifiable scoring procedures and methods for rating videotapes and conducting clinical observations were developed. The RTC‐DAT was tested with 68 subjects at three sites. The RTC has a range of 0–156. Initial testing provided reliability estimates of .82–.87 for internal consistency and good to excellent kappas. Criterion‐related validity with observed discomfort and construct validity by factor analysis support the RTC‐DAT. Measurement issues and recommendations for use in research are discussed. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22: 27–38, 1999.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Agonistic Behavior</subject><subject>Alzheimer Disease - nursing</subject><subject>Alzheimer Disease - psychology</subject><subject>Alzheimer's disease</subject><subject>behavior</subject><subject>Biological and medical sciences</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>ethology</subject><subject>Factor Analysis, Statistical</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>instrument development</subject><subject>Medical sciences</subject><subject>Models, Nursing</subject><subject>Neurology</subject><subject>Nursing</subject><subject>Nursing Assessment - methods</subject><subject>Nursing Methodology Research</subject><subject>Nursing Staff - psychology</subject><subject>Psychometrics</subject><subject>Reproducibility of Results</subject><subject>Sensitivity and Specificity</subject><subject>Treatment Refusal - psychology</subject><subject>Videotape Recording</subject><issn>0160-6891</issn><issn>1098-240X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kdFu0zAUhi0EGmXwCEi5QGi7SLGPHSfuENKUsq2iaiXWCcTNkeOcQEaalDgd7O1JaNVdgLiy7PPrO78-M3Ym-FhwDm9Ormfp7FRwk4Sg-OcTYYzhcAowEW8hnkzOZ9NwcfNRvZNjPk6XZxCuHrHRIf-YjbjQPNSJEU_ZM-9vORciAnHEjoyBxGgxYpMp3VHVbNZUd4Gt86Aj35X116Apgu4bBS35sn-4o5q8D7omcLalwDtb0XP2pLCVpxf785jdXLxfpVfhfHk5S8_noVMQqbCQTrsoz5WOrFWJkZyMziMndZEkUmdckhWgjMgLkeUOMtBJzIUTkKtMFloes9c77qZtfmz7erguvaOqsjU1W4_aRLHWyvTB613QtY33LRW4acu1be9RcByMIg5GcTCEgyHcGUUAFAgxYm8UB6MokWO6RMBVT325X7_N1pQfmHuF_fzVfm4HLUVra1f6h9U6Boijh3I_y4ru_2r2_2L_6PXn3lPDHbX_JPp1oNr2O-pYxhF-Wlzi4svVBz6dr_BC_gaegavx</recordid><startdate>199902</startdate><enddate>199902</enddate><creator>Mahoney, Ellen K.</creator><creator>Hurley, Ann C.</creator><creator>Volicer, Ladislav</creator><creator>Bell, Margaret</creator><creator>Gianotis, Patricia</creator><creator>Hartshorn, Margaret</creator><creator>Lane, Patricia</creator><creator>Lesperance, Roberta</creator><creator>MacDonald, Sally</creator><creator>Novakoff, Lisa</creator><creator>Rheaume, Yvette</creator><creator>Timms, Roland</creator><creator>Warden, Victoria</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199902</creationdate><title>Development and testing of the resistiveness to care scale</title><author>Mahoney, Ellen K. ; Hurley, Ann C. ; Volicer, Ladislav ; Bell, Margaret ; Gianotis, Patricia ; Hartshorn, Margaret ; Lane, Patricia ; Lesperance, Roberta ; MacDonald, Sally ; Novakoff, Lisa ; Rheaume, Yvette ; Timms, Roland ; Warden, Victoria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4254-f3c6c5dd465aa48930e96d5c36f8836b03ea12491df1bdc2b268701c12d4b3f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Agonistic Behavior</topic><topic>Alzheimer Disease - nursing</topic><topic>Alzheimer Disease - psychology</topic><topic>Alzheimer's disease</topic><topic>behavior</topic><topic>Biological and medical sciences</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</topic><topic>ethology</topic><topic>Factor Analysis, Statistical</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>instrument development</topic><topic>Medical sciences</topic><topic>Models, Nursing</topic><topic>Neurology</topic><topic>Nursing</topic><topic>Nursing Assessment - methods</topic><topic>Nursing Methodology Research</topic><topic>Nursing Staff - psychology</topic><topic>Psychometrics</topic><topic>Reproducibility of Results</topic><topic>Sensitivity and Specificity</topic><topic>Treatment Refusal - psychology</topic><topic>Videotape Recording</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mahoney, Ellen K.</creatorcontrib><creatorcontrib>Hurley, Ann C.</creatorcontrib><creatorcontrib>Volicer, Ladislav</creatorcontrib><creatorcontrib>Bell, Margaret</creatorcontrib><creatorcontrib>Gianotis, Patricia</creatorcontrib><creatorcontrib>Hartshorn, Margaret</creatorcontrib><creatorcontrib>Lane, Patricia</creatorcontrib><creatorcontrib>Lesperance, Roberta</creatorcontrib><creatorcontrib>MacDonald, Sally</creatorcontrib><creatorcontrib>Novakoff, Lisa</creatorcontrib><creatorcontrib>Rheaume, Yvette</creatorcontrib><creatorcontrib>Timms, Roland</creatorcontrib><creatorcontrib>Warden, Victoria</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Research in nursing & health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mahoney, Ellen K.</au><au>Hurley, Ann C.</au><au>Volicer, Ladislav</au><au>Bell, Margaret</au><au>Gianotis, Patricia</au><au>Hartshorn, Margaret</au><au>Lane, Patricia</au><au>Lesperance, Roberta</au><au>MacDonald, Sally</au><au>Novakoff, Lisa</au><au>Rheaume, Yvette</au><au>Timms, Roland</au><au>Warden, Victoria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and testing of the resistiveness to care scale</atitle><jtitle>Research in nursing & health</jtitle><addtitle>Res. Nurs. Health</addtitle><date>1999-02</date><risdate>1999</risdate><volume>22</volume><issue>1</issue><spage>27</spage><epage>38</epage><pages>27-38</pages><issn>0160-6891</issn><eissn>1098-240X</eissn><abstract>A conceptual model and objective scale for measuring resistiveness to care in individuals with advanced dementia of the Alzheimer type (DAT) were empirically generated from the perspective of nursing staff caregivers and through observation of residents with DAT. The resistiveness to care scale (RTC‐DAT) was judged to have content validity and reduced to 13 items. Quantifiable scoring procedures and methods for rating videotapes and conducting clinical observations were developed. The RTC‐DAT was tested with 68 subjects at three sites. The RTC has a range of 0–156. Initial testing provided reliability estimates of .82–.87 for internal consistency and good to excellent kappas. Criterion‐related validity with observed discomfort and construct validity by factor analysis support the RTC‐DAT. Measurement issues and recommendations for use in research are discussed. © 1999 John Wiley & Sons, Inc. Res Nurs Health 22: 27–38, 1999.</abstract><cop>New York</cop><pub>John Wiley & Sons, Inc</pub><pmid>9928961</pmid><doi>10.1002/(SICI)1098-240X(199902)22:1<27::AID-NUR4>3.0.CO;2-T</doi><tpages>12</tpages></addata></record> |
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subjects | Activities of Daily Living Aged Agonistic Behavior Alzheimer Disease - nursing Alzheimer Disease - psychology Alzheimer's disease behavior Biological and medical sciences Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ethology Factor Analysis, Statistical Geriatric Assessment Humans instrument development Medical sciences Models, Nursing Neurology Nursing Nursing Assessment - methods Nursing Methodology Research Nursing Staff - psychology Psychometrics Reproducibility of Results Sensitivity and Specificity Treatment Refusal - psychology Videotape Recording |
title | Development and testing of the resistiveness to care scale |
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