The reliability and validity of the Norwegian version of the Neuropsychiatric Inventory, Nursing Home Version (NPI-NH)
Background: Psychiatric symptoms and behavioral disturbances are highly prevalent in the residents of nursing homes. The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of...
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| Veröffentlicht in: | International psychogeriatrics 2008-04, Vol.20 (2), p.375-382 |
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| description | Background: Psychiatric symptoms and behavioral disturbances are highly prevalent in the residents of nursing homes. The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of the Norwegian version of the NPI nursing home version (NPI-NH). Methods: The reliability study comprised 41 patients. We established inter-rater reliability between raters with various levels of health education using κ statistics. Fifty patients were included in the validity study. The patients were examined by a physician, who also rated the patient's behavior using “behavioral pathology in Alzheimer's disease” (BEHAVE-AD). Subsequently, a research nurse performed a standardized interview using the NPI and the Cornell scale. Concurrent validity of the NPI and the BEHAVE-AD was analyzed. Results: Internal consistency, as measured by Cronbach's α was above 0.8. Inter-rater reliability was, except for one item, between 0.85 and 1.0 across assessors with different levels of health education. All correlations between the NPI and the BEHAVE-AD were significant, ranging from 0.38 to 0.72. The weakest correlations were between items assessing affective and anxiety symptoms. Conclusion: The Norwegian version of the NPI-NH is a reliable and valid instrument for assessing psychiatric symptoms and behavioral disturbances in the residents of nursing homes. The investigation of depressive symptoms merits particular attention. |
| doi_str_mv | 10.1017/S1041610207005601 |
| format | Article |
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The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of the Norwegian version of the NPI nursing home version (NPI-NH). Methods: The reliability study comprised 41 patients. We established inter-rater reliability between raters with various levels of health education using κ statistics. Fifty patients were included in the validity study. The patients were examined by a physician, who also rated the patient's behavior using “behavioral pathology in Alzheimer's disease” (BEHAVE-AD). Subsequently, a research nurse performed a standardized interview using the NPI and the Cornell scale. Concurrent validity of the NPI and the BEHAVE-AD was analyzed. Results: Internal consistency, as measured by Cronbach's α was above 0.8. Inter-rater reliability was, except for one item, between 0.85 and 1.0 across assessors with different levels of health education. All correlations between the NPI and the BEHAVE-AD were significant, ranging from 0.38 to 0.72. The weakest correlations were between items assessing affective and anxiety symptoms. Conclusion: The Norwegian version of the NPI-NH is a reliable and valid instrument for assessing psychiatric symptoms and behavioral disturbances in the residents of nursing homes. The investigation of depressive symptoms merits particular attention.</description><identifier>ISSN: 1041-6102</identifier><identifier>EISSN: 1741-203X</identifier><identifier>DOI: 10.1017/S1041610207005601</identifier><identifier>PMID: 17559707</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aged ; Aggression - psychology ; Alzheimer's disease ; Biological and medical sciences ; Brain - physiopathology ; Caregivers ; Consent ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Dementia ; Dementia - diagnosis ; Dementia - physiopathology ; Dementia - psychology ; Depressive Disorder, Major - diagnosis ; Depressive Disorder, Major - psychology ; Eating behavior ; Female ; Geriatrics ; Humans ; Interviews ; Male ; Medical sciences ; Mental depression ; Neurology ; neuropsychiatric symptoms ; Norway ; Nursing Homes ; Patients ; Psychiatrists ; Psychology. Psychoanalysis. Psychiatry ; Psychomotor Agitation - diagnosis ; Psychomotor Agitation - psychology ; Psychopathology. Psychiatry ; reliability ; Reproducibility of Results ; Surveys and Questionnaires ; Validity</subject><ispartof>International psychogeriatrics, 2008-04, Vol.20 (2), p.375-382</ispartof><rights>Copyright © International Psychogeriatric Association 2007</rights><rights>2007 Copyright © International Psychogeriatric Association 2007</rights><rights>2008 INIST-CNRS</rights><rights>International Psychogeriatric Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c518t-e8fca1949d77410da38af77ea9ccfdaba4833222ccebad6a43fae96b1e9841a63</citedby><cites>FETCH-LOGICAL-c518t-e8fca1949d77410da38af77ea9ccfdaba4833222ccebad6a43fae96b1e9841a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1041610207005601/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,778,782,12833,27911,27912,30986,55615</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20139760$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17559707$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Selbæk, Geir</creatorcontrib><creatorcontrib>Kirkevold, Øyvind</creatorcontrib><creatorcontrib>Sommer, Oskar H.</creatorcontrib><creatorcontrib>Engedal, Knut</creatorcontrib><title>The reliability and validity of the Norwegian version of the Neuropsychiatric Inventory, Nursing Home Version (NPI-NH)</title><title>International psychogeriatrics</title><addtitle>Int Psychogeriatr</addtitle><description>Background: Psychiatric symptoms and behavioral disturbances are highly prevalent in the residents of nursing homes. The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of the Norwegian version of the NPI nursing home version (NPI-NH). Methods: The reliability study comprised 41 patients. We established inter-rater reliability between raters with various levels of health education using κ statistics. Fifty patients were included in the validity study. The patients were examined by a physician, who also rated the patient's behavior using “behavioral pathology in Alzheimer's disease” (BEHAVE-AD). Subsequently, a research nurse performed a standardized interview using the NPI and the Cornell scale. Concurrent validity of the NPI and the BEHAVE-AD was analyzed. Results: Internal consistency, as measured by Cronbach's α was above 0.8. Inter-rater reliability was, except for one item, between 0.85 and 1.0 across assessors with different levels of health education. All correlations between the NPI and the BEHAVE-AD were significant, ranging from 0.38 to 0.72. The weakest correlations were between items assessing affective and anxiety symptoms. Conclusion: The Norwegian version of the NPI-NH is a reliable and valid instrument for assessing psychiatric symptoms and behavioral disturbances in the residents of nursing homes. The investigation of depressive symptoms merits particular attention.</description><subject>Aged</subject><subject>Aggression - psychology</subject><subject>Alzheimer's disease</subject><subject>Biological and medical sciences</subject><subject>Brain - physiopathology</subject><subject>Caregivers</subject><subject>Consent</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia - physiopathology</subject><subject>Dementia - psychology</subject><subject>Depressive Disorder, Major - diagnosis</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Eating behavior</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Humans</subject><subject>Interviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Neurology</subject><subject>neuropsychiatric symptoms</subject><subject>Norway</subject><subject>Nursing Homes</subject><subject>Patients</subject><subject>Psychiatrists</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychomotor Agitation - diagnosis</subject><subject>Psychomotor Agitation - psychology</subject><subject>Psychopathology. 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Leukodystrophies. Prion diseases</topic><topic>Dementia</topic><topic>Dementia - diagnosis</topic><topic>Dementia - physiopathology</topic><topic>Dementia - psychology</topic><topic>Depressive Disorder, Major - diagnosis</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Eating behavior</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Humans</topic><topic>Interviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Neurology</topic><topic>neuropsychiatric symptoms</topic><topic>Norway</topic><topic>Nursing Homes</topic><topic>Patients</topic><topic>Psychiatrists</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychomotor Agitation - diagnosis</topic><topic>Psychomotor Agitation - psychology</topic><topic>Psychopathology. 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The Neuropsychiatric Inventory (NPI) is a commonly used scale for the assessment of such symptoms in diverse settings. We have conducted a study of the reliability and the validity of the Norwegian version of the NPI nursing home version (NPI-NH). Methods: The reliability study comprised 41 patients. We established inter-rater reliability between raters with various levels of health education using κ statistics. Fifty patients were included in the validity study. The patients were examined by a physician, who also rated the patient's behavior using “behavioral pathology in Alzheimer's disease” (BEHAVE-AD). Subsequently, a research nurse performed a standardized interview using the NPI and the Cornell scale. Concurrent validity of the NPI and the BEHAVE-AD was analyzed. Results: Internal consistency, as measured by Cronbach's α was above 0.8. Inter-rater reliability was, except for one item, between 0.85 and 1.0 across assessors with different levels of health education. All correlations between the NPI and the BEHAVE-AD were significant, ranging from 0.38 to 0.72. The weakest correlations were between items assessing affective and anxiety symptoms. Conclusion: The Norwegian version of the NPI-NH is a reliable and valid instrument for assessing psychiatric symptoms and behavioral disturbances in the residents of nursing homes. The investigation of depressive symptoms merits particular attention.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>17559707</pmid><doi>10.1017/S1041610207005601</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aggression - psychology Alzheimer's disease Biological and medical sciences Brain - physiopathology Caregivers Consent Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases Dementia Dementia - diagnosis Dementia - physiopathology Dementia - psychology Depressive Disorder, Major - diagnosis Depressive Disorder, Major - psychology Eating behavior Female Geriatrics Humans Interviews Male Medical sciences Mental depression Neurology neuropsychiatric symptoms Norway Nursing Homes Patients Psychiatrists Psychology. Psychoanalysis. Psychiatry Psychomotor Agitation - diagnosis Psychomotor Agitation - psychology Psychopathology. Psychiatry reliability Reproducibility of Results Surveys and Questionnaires Validity |
| title | The reliability and validity of the Norwegian version of the Neuropsychiatric Inventory, Nursing Home Version (NPI-NH) |
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