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
Hauptverfasser: 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
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container_end_page 38
container_issue 1
container_start_page 27
container_title Research in nursing & health
container_volume 22
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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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 &amp; 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 &amp; health</jtitle><addtitle>Res. 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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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