ArticleSAGE open nursing
Psychometric Development of the Thai Version of Geriatric Care Competency in Significant Diseases Among Caregivers in a Rural Thai Community.
Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Background: A review of the literature on geriatric care assessment tools revealed no specific tools for assessing caregivers' abilities in terms of seven major diseases-acute myocardial infarction, stroke, falls, diabetes, hypertension, osteoarthritis, and dementia-particularly in the context of rural community of Thailand as well as the need of the psychometric tested instrument for caregivers about knowledge, attitudes, and practice domain. Objective: This cross-sectional study aimed to develop an assessment tool for knowledge, attitudes, and practices in continuity care for older adults with significant diseases. Method: The sample consisted of 400 randomly selected caregivers and community health volunteers who cared for older adults with significant diseases. The instruments used incorporated 280 items of a questionnaire assessing knowledge, attitudes, and behaviors in continuity care for older adults with significant diseases and were reviewed by five experts, with a Content Validity Ratio (CVR) of over 0.99 and a Content Validity Index (CVI) of 0.98. All instruments were examined for reliability, with the knowledge assessment scoring a KR-20 of 0.71, the attitude assessment a Cronbach's alpha of 0.96, and the behavior assessment a Cronbach's alpha of 0.99. Data were analyzed using the factor analysis process, where exploratory factor analysis (EFA) was first performed by extracting elements using the principal component analysis method and Varimax rotation, followed by confirmatory factor analysis (CFA). Results: The final version of the geriatric care competency instrument consists of a 60-item knowledge, a 28-item attitude, and a 177-item practice domain, along with models for measuring knowledge, attitudes, and behaviors in the continuous care of elderly individuals with suitable construct validity. Conclusions: The results suggest that healthcare agencies can use the standardized assessment tool for continuous care competency in community caregivers.
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