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Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong

BACKGROUND AND OBJECTIVES: Care planning can protect against or offset potential stressors in the caregiving stage and mitigate their detrimental effects. This study aimed to translate, adapt, and validate 2 short forms of the multidimensional, theory-guided scale measuring preparation for future ca...

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Autores principales: Bai, Xue, Liu, Chang, Song, Yajun, Sörensen, Silvia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372894/
https://www.ncbi.nlm.nih.gov/pubmed/34166488
http://dx.doi.org/10.1093/geront/gnab089
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author Bai, Xue
Liu, Chang
Song, Yajun
Sörensen, Silvia
author_facet Bai, Xue
Liu, Chang
Song, Yajun
Sörensen, Silvia
author_sort Bai, Xue
collection PubMed
description BACKGROUND AND OBJECTIVES: Care planning can protect against or offset potential stressors in the caregiving stage and mitigate their detrimental effects. This study aimed to translate, adapt, and validate 2 short forms of the multidimensional, theory-guided scale measuring preparation for future care needs (PFCN) among Chinese older adults in Hong Kong. RESEARCH DESIGN AND METHODS: Data were derived from a cross-sectional survey of 862 community-dwelling individuals aged 60 years and older. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess the structural validity of the scales. Criterion-related validity, known-groups validity, and internal consistency were also examined. RESULTS: EFA yielded a 14-item 4-factor (awareness, avoidance, decision making, and concrete planning) model, which was supported by CFA and explained 68.9% of the total variance. CFA also supported the structural validity of the 5-item scale. Criterion-related validity of the 2 scales was supported by their significant and positive correlations with domain-specific planning behaviors for retirement. Known-groups validity of the 2 scales was demonstrated by significant differences in scores between male and female older adults and scores between different educational levels and socioeconomic status. Cronbach’s alphas for the internal consistency of the 14-item and 5-item scales were 0.889 and 0.774, respectively. DISCUSSION AND IMPLICATIONS: PFCN scales enable researchers and service practitioners to accurately understand and assess older adults’ processes and efforts in care planning, facilitate the identification of individuals at risk from inadequate planning, and inform the development of interventions to enhance care preparation in target domains.
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spelling pubmed-93728942022-08-12 Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong Bai, Xue Liu, Chang Song, Yajun Sörensen, Silvia Gerontologist Measurement Article BACKGROUND AND OBJECTIVES: Care planning can protect against or offset potential stressors in the caregiving stage and mitigate their detrimental effects. This study aimed to translate, adapt, and validate 2 short forms of the multidimensional, theory-guided scale measuring preparation for future care needs (PFCN) among Chinese older adults in Hong Kong. RESEARCH DESIGN AND METHODS: Data were derived from a cross-sectional survey of 862 community-dwelling individuals aged 60 years and older. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted to assess the structural validity of the scales. Criterion-related validity, known-groups validity, and internal consistency were also examined. RESULTS: EFA yielded a 14-item 4-factor (awareness, avoidance, decision making, and concrete planning) model, which was supported by CFA and explained 68.9% of the total variance. CFA also supported the structural validity of the 5-item scale. Criterion-related validity of the 2 scales was supported by their significant and positive correlations with domain-specific planning behaviors for retirement. Known-groups validity of the 2 scales was demonstrated by significant differences in scores between male and female older adults and scores between different educational levels and socioeconomic status. Cronbach’s alphas for the internal consistency of the 14-item and 5-item scales were 0.889 and 0.774, respectively. DISCUSSION AND IMPLICATIONS: PFCN scales enable researchers and service practitioners to accurately understand and assess older adults’ processes and efforts in care planning, facilitate the identification of individuals at risk from inadequate planning, and inform the development of interventions to enhance care preparation in target domains. Oxford University Press 2021-06-24 /pmc/articles/PMC9372894/ /pubmed/34166488 http://dx.doi.org/10.1093/geront/gnab089 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Measurement Article
Bai, Xue
Liu, Chang
Song, Yajun
Sörensen, Silvia
Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title_full Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title_fullStr Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title_full_unstemmed Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title_short Adaptation and Validation of the Preparation for Future Care Needs Scale for Chinese Older Adults in Hong Kong
title_sort adaptation and validation of the preparation for future care needs scale for chinese older adults in hong kong
topic Measurement Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9372894/
https://www.ncbi.nlm.nih.gov/pubmed/34166488
http://dx.doi.org/10.1093/geront/gnab089
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