Evidence map›Paper›PMID 32993737›Full record

ArticleBMC health services research2020

The perceived behavior and barriers of community care professionals in encouraging functional activities of older adults: the development and validation of the MAINtAIN-C questionnaire.

Ruth G M Vogel, Gerrie J J W Bours, Silke F Metzelthin, Petra M G Erkens, Gerard J P van Breukelen, Sandra M G Zwakhalen, Erik van Rossum

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ruth G M VogelCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands. r.vogel@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0003-3600-6167
Gerrie J J W BoursCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Silke F MetzelthinCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Petra M G ErkensCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Gerard J P van BreukelenCare and Public Health Research Institute, Department of Methodology and Statistics, and Graduate School of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.
Sandra M G ZwakhalenCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Erik van RossumCare and Public Health Research Institute, Department of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Maastricht University · NLZuyd University of Applied Sciences · NL

Funding

ZonMw 520003001
6 · The paper itself

Abstract

backgroundCommunity care professionals need to encourage older adults in performing functional activities to maintain independence. However, professionals often perform functional activities on behalf of older adults. To change this, insights into the behavior and barriers of professionals in encouraging activities are required. In the current study, the MAINtAIN questionnaire, which was developed for nursing homes, was adopted. The objective was to create a modified version that is suitable for measuring behavior and barriers of community care professionals in encouraging functional activities of clients in the community care setting. The overall aims were to assess the content validity, construct validity, and internal consistency of the modified version.

methodsData was collected by qualitative and quantitative methods in two phases. During phase one, the MAINtAIN was assessed on appropriateness and feasibility by community nurses (N = 7), and the adapted questionnaire was assessed on content validity by research experts (N = 9) and community care professionals (N = 18). During phase two, the psychometric properties of the adapted MAINtAIN-C were assessed in community care professionals (N = 80). Construct validity was evaluated by an Exploratory Factor Analysis (EFA), and internal consistency was determined by calculating Cronbach's alpha coefficients.

resultsThe formulation, verbs, and wording of the MAINtAIN were adapted; some items were excluded and relevant items were added, resulting in the MAINtAIN-C with two scales, showing good content validity. The Behaviors scale (20 items) measures perceived behavior in encouraging functional activities, expressing good internal consistency (Cronbach's alpha: .92). The Barriers scale measures barriers in encouraging functional activities related to two dimensions: 1) the clients' context (7 items), with good internal consistency (.78); and 2) the professional, social, and organizational contexts (21 items), showing good internal consistency (.83).

conclusionsThe MAINtAIN-C seems promising to assess the behavior and barriers of community care professionals in encouraging functional activities. It can be used to display a possible difference between perceived and actual behavior, to develop strategies for removing barriers in encouraging activities to foster behavioral change. The results also provide guidance for further research in a larger sample to obtain more insight into the psychometric properties.

Indexed as

Professional-Patient RelationsSurveys and QuestionnairesActivities of Daily LivingAdultAgedCommunity Health ServicesFactor Analysis, StatisticalFemaleHealth PersonnelHumansMaleMiddle AgedPsychometricsReproducibility of ResultsYoung AdultAgedCommunity healthFunctional activitiesNursesPsychometricsQuestionnaires

Identifiers

PMID32993737
PMCPMC7526165
OpenAlexW3091621602

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.