Psychometric Characteristics of the Minimum Data Set I: Confirmatory Factor Analysis
OBJECTIVE: To determine the structure and statistical reliability of the federally mandated Minimum Data Set (MDS). DESIGN: Confirmatory, hypothesis‐testing factor analysis was performed on MDS protocols of 733 nursing home residents. SETTING: All participants were residents of the Philadelphia Geri...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 1998-06, Vol.46 (6), p.726-735 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 46 |
| creator | Casten, Robin Lawton, M. Powell Parmelee, Patricia A. Kleban, Morton H. |
| description | OBJECTIVE: To determine the structure and statistical reliability of the federally mandated Minimum Data Set (MDS).
DESIGN: Confirmatory, hypothesis‐testing factor analysis was performed on MDS protocols of 733 nursing home residents.
SETTING: All participants were residents of the Philadelphia Geriatric Center.
PARTICIPANTS: Participants represented consecutively admitted skilled and intermediate care residents and another pool of residents with probable dementia.
MEASUREMENTS: MDS protocols were completed by nurse care coordinators. Item composites hypothesized represented the domains of cognition, activities of daily living, time use, social quality, depression, and problem behaviors.
RESULTS: For higher functioning residents (n = 336) and for all residents together, all domain clusters except social quality were confirmed. None of the domain clusters were confirmed within the more impaired (n = 391) group.
CONCLUSIONS: The MDS does provide usable indicators of five areas of basic competence of nursing home residents. Lack of reliability in rating many aspects of the behavior and states of cognitively impaired residents is evident, however. Improvement of such measures and rating procedures constitutes a major research priority. |
| doi_str_mv | 10.1111/j.1532-5415.1998.tb03808.x |
| format | Article |
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DESIGN: Confirmatory, hypothesis‐testing factor analysis was performed on MDS protocols of 733 nursing home residents.
SETTING: All participants were residents of the Philadelphia Geriatric Center.
PARTICIPANTS: Participants represented consecutively admitted skilled and intermediate care residents and another pool of residents with probable dementia.
MEASUREMENTS: MDS protocols were completed by nurse care coordinators. Item composites hypothesized represented the domains of cognition, activities of daily living, time use, social quality, depression, and problem behaviors.
RESULTS: For higher functioning residents (n = 336) and for all residents together, all domain clusters except social quality were confirmed. None of the domain clusters were confirmed within the more impaired (n = 391) group.
CONCLUSIONS: The MDS does provide usable indicators of five areas of basic competence of nursing home residents. Lack of reliability in rating many aspects of the behavior and states of cognitively impaired residents is evident, however. Improvement of such measures and rating procedures constitutes a major research priority.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.1998.tb03808.x</identifier><identifier>PMID: 9625189</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Activities of Daily Living - classification ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Chronic Disease - epidemiology ; Cognition & reasoning ; Data Collection - statistics & numerical data ; Dementia - epidemiology ; Factor Analysis, Statistical ; Female ; Geriatric Assessment - statistics & numerical data ; Geriatrics ; Homes for the Aged - statistics & numerical data ; Humans ; Male ; Medical sciences ; Nursing homes ; Nursing Homes - statistics & numerical data ; Older people ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychometrics. Diagnostic aid systems ; Psychopathology. Psychiatry ; Quality of Life ; Sensitivity and Specificity ; Techniques and methods ; Tests</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 1998-06, Vol.46 (6), p.726-735</ispartof><rights>1998 The American Geriatrics Society</rights><rights>1998 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jun 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4648-72d6788801f1d0a8f55b362b453c2b861619f8c6da5f887653211e07010334863</citedby><cites>FETCH-LOGICAL-c4648-72d6788801f1d0a8f55b362b453c2b861619f8c6da5f887653211e07010334863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.1998.tb03808.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.1998.tb03808.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2263047$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9625189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Casten, Robin</creatorcontrib><creatorcontrib>Lawton, M. Powell</creatorcontrib><creatorcontrib>Parmelee, Patricia A.</creatorcontrib><creatorcontrib>Kleban, Morton H.</creatorcontrib><title>Psychometric Characteristics of the Minimum Data Set I: Confirmatory Factor Analysis</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>OBJECTIVE: To determine the structure and statistical reliability of the federally mandated Minimum Data Set (MDS).
DESIGN: Confirmatory, hypothesis‐testing factor analysis was performed on MDS protocols of 733 nursing home residents.
SETTING: All participants were residents of the Philadelphia Geriatric Center.
PARTICIPANTS: Participants represented consecutively admitted skilled and intermediate care residents and another pool of residents with probable dementia.
MEASUREMENTS: MDS protocols were completed by nurse care coordinators. Item composites hypothesized represented the domains of cognition, activities of daily living, time use, social quality, depression, and problem behaviors.
RESULTS: For higher functioning residents (n = 336) and for all residents together, all domain clusters except social quality were confirmed. None of the domain clusters were confirmed within the more impaired (n = 391) group.
CONCLUSIONS: The MDS does provide usable indicators of five areas of basic competence of nursing home residents. Lack of reliability in rating many aspects of the behavior and states of cognitively impaired residents is evident, however. Improvement of such measures and rating procedures constitutes a major research priority.</description><subject>Activities of Daily Living - classification</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease - epidemiology</subject><subject>Cognition & reasoning</subject><subject>Data Collection - statistics & numerical data</subject><subject>Dementia - epidemiology</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Geriatric Assessment - statistics & numerical data</subject><subject>Geriatrics</subject><subject>Homes for the Aged - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nursing homes</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>Older people</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychometrics. Diagnostic aid systems</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><subject>Sensitivity and Specificity</subject><subject>Techniques and methods</subject><subject>Tests</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkVtv0zAcxS0EGmXwEZCsCfGW4Et8yV7QVGgZWoGpQ3u0HNdRXXIZtiOab4-jRn3gDb_Y0vn9j4-PAbjCKMdpfTjkmFGSsQKzHJelzGOFqEQyPz4Di7P0HCwQQiSTHBcvwasQDghhgqS8ABclJwzLcgEefoTR7PvWRu8MXO611yZa70J0JsC-hnFv4cZ1rh1a-ElHDbc2wttruOy72vlWx96PcJWGeg9vOt2MwYXX4EWtm2DfzPsl-Ln6_LD8kt19X98ub-4yU_BCZoLsuJBSIlzjHdKyZqyinFQFo4ZUKTbHZS0N32lWSyl4ehjGFgmEEaWF5PQSvD_5Pvn-92BDVK0LxjaN7mw_BCXKkiLGZQKv_gEP_eBT2qBIMkvWAiXo-gQZ34fgba2evGu1HxVGaupdHdRUrprKVVPvau5dHdPw2_mGoWrt7jw6F530d7Oug9FN7XVnXDhjhHCKCpGwjyfsj2vs-B8B1Nf1djolh-zkkL7QHs8O2v9SXFDB1OO3tdqs7u83RGzVI_0Lm_SsPg</recordid><startdate>199806</startdate><enddate>199806</enddate><creator>Casten, Robin</creator><creator>Lawton, M. Powell</creator><creator>Parmelee, Patricia A.</creator><creator>Kleban, Morton H.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</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>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>199806</creationdate><title>Psychometric Characteristics of the Minimum Data Set I: Confirmatory Factor Analysis</title><author>Casten, Robin ; Lawton, M. Powell ; Parmelee, Patricia A. ; Kleban, Morton H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4648-72d6788801f1d0a8f55b362b453c2b861619f8c6da5f887653211e07010334863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Activities of Daily Living - classification</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease - epidemiology</topic><topic>Cognition & reasoning</topic><topic>Data Collection - statistics & numerical data</topic><topic>Dementia - epidemiology</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Geriatric Assessment - statistics & numerical data</topic><topic>Geriatrics</topic><topic>Homes for the Aged - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nursing homes</topic><topic>Nursing Homes - statistics & numerical data</topic><topic>Older people</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychometrics. Diagnostic aid systems</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><topic>Sensitivity and Specificity</topic><topic>Techniques and methods</topic><topic>Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Casten, Robin</creatorcontrib><creatorcontrib>Lawton, M. Powell</creatorcontrib><creatorcontrib>Parmelee, Patricia A.</creatorcontrib><creatorcontrib>Kleban, Morton H.</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>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Casten, Robin</au><au>Lawton, M. Powell</au><au>Parmelee, Patricia A.</au><au>Kleban, Morton H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric Characteristics of the Minimum Data Set I: Confirmatory Factor Analysis</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>1998-06</date><risdate>1998</risdate><volume>46</volume><issue>6</issue><spage>726</spage><epage>735</epage><pages>726-735</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>OBJECTIVE: To determine the structure and statistical reliability of the federally mandated Minimum Data Set (MDS).
DESIGN: Confirmatory, hypothesis‐testing factor analysis was performed on MDS protocols of 733 nursing home residents.
SETTING: All participants were residents of the Philadelphia Geriatric Center.
PARTICIPANTS: Participants represented consecutively admitted skilled and intermediate care residents and another pool of residents with probable dementia.
MEASUREMENTS: MDS protocols were completed by nurse care coordinators. Item composites hypothesized represented the domains of cognition, activities of daily living, time use, social quality, depression, and problem behaviors.
RESULTS: For higher functioning residents (n = 336) and for all residents together, all domain clusters except social quality were confirmed. None of the domain clusters were confirmed within the more impaired (n = 391) group.
CONCLUSIONS: The MDS does provide usable indicators of five areas of basic competence of nursing home residents. Lack of reliability in rating many aspects of the behavior and states of cognitively impaired residents is evident, however. Improvement of such measures and rating procedures constitutes a major research priority.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9625189</pmid><doi>10.1111/j.1532-5415.1998.tb03808.x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 1998-06, Vol.46 (6), p.726-735 |
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| subjects | Activities of Daily Living - classification Aged Aged, 80 and over Biological and medical sciences Chronic Disease - epidemiology Cognition & reasoning Data Collection - statistics & numerical data Dementia - epidemiology Factor Analysis, Statistical Female Geriatric Assessment - statistics & numerical data Geriatrics Homes for the Aged - statistics & numerical data Humans Male Medical sciences Nursing homes Nursing Homes - statistics & numerical data Older people Psychology. Psychoanalysis. Psychiatry Psychometrics Psychometrics. Diagnostic aid systems Psychopathology. Psychiatry Quality of Life Sensitivity and Specificity Techniques and methods Tests |
| title | Psychometric Characteristics of the Minimum Data Set I: Confirmatory Factor Analysis |
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