Evidence map›Paper›PMID 33023573›Full record

ArticleHealth and quality of life outcomes2020

Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT).

Birgit Trukeschitz, Judith Litschauer, Assma Hajji, Judith Kieninger, Adiam Schoch, Juliette Malley, Stacey Rand, Ismo Linnosmaa, Julien Forder

Open access · goldAbstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Norwegian translation and adaptation of the INT4 version of the Adult Social Care Outcomes Toolkit (ASCOT).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  5. Use of the adult social care outcomes toolkit (ASCOT) in research studies: an international scoping review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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

9 authors at 4 institutions in 3 countries.

Birgit TrukeschitzResearch Institute for Economics of Aging, WU Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria. birgit.trukeschitz@wu.ac.at.ORCID http://orcid.org/0000-0002-2307-4200
Judith LitschauerResearch Institute for Economics of Aging, WU Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria.
Assma HajjiResearch Institute for Economics of Aging, WU Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria.
Judith KieningerResearch Institute for Economics of Aging, WU Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria.
Adiam SchochResearch Institute for Economics of Aging, WU Vienna University of Economics and Business, Welthandelsplatz 1, 1020, Vienna, Austria.
Juliette MalleyCare Policy and Evaluation Centre, London School of Economics and Political Science, London, UK.
Stacey RandPersonal Social Services Research Unit, University of Kent, Canterbury, UK.
Ismo LinnosmaaCentre for Health and Social Economics, Finnish Institute for Health and Welfare, Helsinki, Finland.
Julien ForderPersonal Social Services Research Unit, University of Kent, Canterbury, UK.
Vienna University of Economics and Business · ATUniversity of Kent · GBLondon School of Economics and Political Science · GBUniversity of Eastern Finland · FI

Funding

Austrian Science Fund (FWF) I 2252-G16NORFACE Welfare State Futures 462-14-160
6 · The paper itself

Abstract

backgroundThere has been considerable interest in using the Adult Social Care Outcomes Toolkit (ASCOT), developed in England, to measure quality-of-life outcomes of long-term care (LTC-QoL) service provision in national and cross-national studies.

objectivesThe aim of this study was to translate and culturally adapt the original ASCOT service user measure into German and to evaluate its content and construct validity in Austrian home care service users.

methodsThe translation and cultural adaptation process followed the ISPOR TCA guidelines. We used qualitative data from six cognitive debriefing interviews with Austrian recipients of home care services to assess linguistic and content validity. In addition, cross-sectional survey data (n = 633) were used to evaluate construct validity by testing hypothesized associations established in a previous study for the original English ASCOT service user instrument.

resultsCognitive debriefing interviews confirmed that the German adaptation of the ASCOT service user instrument was understood as intended, although two domains ('Control over daily life' and 'Dignity') and selected phrases of the response options were challenging to translate into German. All ASCOT domains were statistically significantly associated with related constructs and sensitive to service user sub-group differences.

conclusionsWe found good evidence for a valid cross-cultural adaptation of the German version of ASCOT for service users. The analysis also supports the construct validity of the translated instrument and its use in evaluations of QoL-effects of LTC service provision in German-speaking countries. Further research on the reliability and feasibility in different care settings is encouraged.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAgedAged, 80 and overAustriaCross-Cultural ComparisonCross-Sectional StudiesFemaleHome Care ServicesHumansMaleMiddle AgedReproducibility of ResultsSocial WorkTranslatingTranslations

Identifiers

PMID33023573
PMCPMC7541247
OpenAlexW3084408910

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.