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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Quality of care experience- aged care consumers (QCE-ACC) in residential aged care: an assessment of construct validity.

Digisie M Jemere, Julie Ratcliffe, Jyoti Khadka, Rachel Milte

Abstract readValidation Study
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In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. 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
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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

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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.

  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

4 authors.

Digisie M JemereHealth and Social Care Economics Group, Caring Futures Institute, Flinders University, Bedford Park, SA, Australia. digisie.jemere@flinders.edu.au.ORCID http://orcid.org/0000-0002-9561-5686
Julie RatcliffeHealth and Social Care Economics Group, Caring Futures Institute, Flinders University, Bedford Park, SA, Australia.ORCID http://orcid.org/0000-0001-7365-1988
Jyoti KhadkaHealth and Social Care Economics Group, Caring Futures Institute, Flinders University, Bedford Park, SA, Australia.ORCID http://orcid.org/0000-0003-1012-2119
Rachel MilteHealth and Social Care Economics Group, Caring Futures Institute, Flinders University, Bedford Park, SA, Australia.ORCID http://orcid.org/0000-0001-7533-6260

Funding

Caring Futures Institute, Flinders University Research Training Program (RTP)
6 · The paper itself

Abstract

purposeProviding quality care for older people continues to be a significant challenge globally and in Australia. The Quality-of-Care Experience - Aged Care Consumers (QCE-ACC) has been adopted as a key quality indicator in the national aged care quality indicator program in Australia for public reporting of care quality variation across residential aged care facilities. This study aims to provide further evidence of the construct validity of QCE-ACC among older people living in residential aged care facilities.

methodsOlder people (aged > 65 years) receiving residential aged care services participated via face-to-face interview. Participants completed a range of validated instruments, including the QCE-ACC and five additional measures. Feasibility was assessed by examining missing data and floor/ ceiling effects. Construct validity was assessed through two approaches: convergent validity (correlations with other instruments) and known group validity (distinguishing self-rated health and quality of life levels). Internal consistency reliability was measured using Cronbach's alpha (α).

resultsOf the 200 respondents (mean age, 85 ± 7.7 years), more than half (n = 113, 56.5%) were over the age of 85 year and 60% (n = 120) were female. The QCE-ACC showed adequate feasibility and demonstrated moderate correlations with the QOL-ACC (ρ = 0.57) and ASCOT (ρ = 0.60). It was also able to differentiate between varying levels of self-reported health and quality of life. The QCE-ACC and its dimensions showed good internal consistency reliability (α = 0.77-0.81).

conclusionThe QCE-ACC demonstrated adequate feasibility, validity and internal consistency to monitor quality of care provided in residential aged care settings.

Indexed as

Homes for the AgedPatient SatisfactionQuality Indicators, Health CareQuality of Health CareQuality of LifeAgedAged, 80 and overAustraliaFemaleHumansInterviews as TopicMalePsychometricsReproducibility of ResultsSurveys and QuestionnairesOlder peopleQuality of careReliabilityResidential careValidity

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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.