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The Development and Content Validation of the Care Partner Hospital Assessment Tool

Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will e...

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Autores principales: Fields, Beth, Schulz, Richard, Terhorst, Lauren, Carbery, Madeline, Rodakowski, Juleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608130/
https://www.ncbi.nlm.nih.gov/pubmed/34968327
http://dx.doi.org/10.3390/nursrep11030049
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author Fields, Beth
Schulz, Richard
Terhorst, Lauren
Carbery, Madeline
Rodakowski, Juleen
author_facet Fields, Beth
Schulz, Richard
Terhorst, Lauren
Carbery, Madeline
Rodakowski, Juleen
author_sort Fields, Beth
collection PubMed
description Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT). Methods: Based on standard instrumentation methodology and an assessment framework recommended by the National Center on Caregiving at the Family Caregiving Alliance, three steps were followed to develop and validate CHAT: (1) generation of a 24-item tool grouped into three content domains (background, plans and preferences, skills and supports), and a survey by a multidisciplinary team, (2) administration of an online survey of care partners and experts, and (3) assessment of item and scale-content validity indices (I-CVI and S-CVI). Results: A total of four care partners that provide unpaid care to a family member or friend age 65 years or older with a chronic illness or disability either before or after a hospitalization, and 19 leading experts in gerontology, caregiving, and health services completed an online survey in English. Twenty-two items were accepted by having an I-CVI at or above the acceptable 78% cut point; the S-CVI for the tool was 85%. Most revisions to the tool were associated with modifying or clarifying language within each item. For example, participants shared the following open-ended suggestions for revising CHAT: (1) change the “do you prefer” sentence stem to “do you want” (n = 12), define “training” (n = 6), and (2) allow care partners to provide an unsure response (n = 5). Conclusion: CHAT may be a promising way to increase health care practitioner’s understanding of care partners’ backgrounds, preferences and plans, and potential information or training needs during a patient’s hospital stay. Initial evaluation of CHAT reveals strong conceptual development and content validity.
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spelling pubmed-86081302021-12-28 The Development and Content Validation of the Care Partner Hospital Assessment Tool Fields, Beth Schulz, Richard Terhorst, Lauren Carbery, Madeline Rodakowski, Juleen Nurs Rep Brief Report Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT). Methods: Based on standard instrumentation methodology and an assessment framework recommended by the National Center on Caregiving at the Family Caregiving Alliance, three steps were followed to develop and validate CHAT: (1) generation of a 24-item tool grouped into three content domains (background, plans and preferences, skills and supports), and a survey by a multidisciplinary team, (2) administration of an online survey of care partners and experts, and (3) assessment of item and scale-content validity indices (I-CVI and S-CVI). Results: A total of four care partners that provide unpaid care to a family member or friend age 65 years or older with a chronic illness or disability either before or after a hospitalization, and 19 leading experts in gerontology, caregiving, and health services completed an online survey in English. Twenty-two items were accepted by having an I-CVI at or above the acceptable 78% cut point; the S-CVI for the tool was 85%. Most revisions to the tool were associated with modifying or clarifying language within each item. For example, participants shared the following open-ended suggestions for revising CHAT: (1) change the “do you prefer” sentence stem to “do you want” (n = 12), define “training” (n = 6), and (2) allow care partners to provide an unsure response (n = 5). Conclusion: CHAT may be a promising way to increase health care practitioner’s understanding of care partners’ backgrounds, preferences and plans, and potential information or training needs during a patient’s hospital stay. Initial evaluation of CHAT reveals strong conceptual development and content validity. MDPI 2021-07-11 /pmc/articles/PMC8608130/ /pubmed/34968327 http://dx.doi.org/10.3390/nursrep11030049 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Fields, Beth
Schulz, Richard
Terhorst, Lauren
Carbery, Madeline
Rodakowski, Juleen
The Development and Content Validation of the Care Partner Hospital Assessment Tool
title The Development and Content Validation of the Care Partner Hospital Assessment Tool
title_full The Development and Content Validation of the Care Partner Hospital Assessment Tool
title_fullStr The Development and Content Validation of the Care Partner Hospital Assessment Tool
title_full_unstemmed The Development and Content Validation of the Care Partner Hospital Assessment Tool
title_short The Development and Content Validation of the Care Partner Hospital Assessment Tool
title_sort development and content validation of the care partner hospital assessment tool
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608130/
https://www.ncbi.nlm.nih.gov/pubmed/34968327
http://dx.doi.org/10.3390/nursrep11030049
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