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Field testing, refinement, and psychometric evaluation of a new measure of quality of care for assisted living
Journal article   Peer reviewed

Field testing, refinement, and psychometric evaluation of a new measure of quality of care for assisted living

Marilyn J Rantz, Myra A Aud, Mary Zwygart-Stauffacher, David R Mehr, Gregory F Petroski, Steven V Owen, Richard W Madsen, Marcia Flesner, Vicki Conn and Meridean Maas
Journal of nursing measurement, Vol.16(1), pp.16-30
01/01/2008
DOI: 10.1891/1061-3749.16.1.16
PMCID: PMC3254215
PMID: 18578107
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3254215View
Open Access

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Abstract

Field test results are reported for the Observable Indicators of Nursing Home Care Quality Instrument-Assisted Living Version, an instrument designed to measure the quality of care in assisted living facilities after a brief 30-minute walk-through. The OIQ-AL was tested in 207 assisted-living facilities in two states using classical test theory, generalizability theory, and exploratory factor analysis. The 34-item scale has a coherent six-factor structure that conceptually describes the multidimensional concept of care quality in assisted living. The six factors can be logically clustered into process (Homelike and Caring, 21 items) and structure (Access and Choice; Lighting; Plants and Pets; Outdoor Spaces) subscales and for a total quality score. Classical test theory results indicate most subscales and the total quality score from the OIQ-AL have acceptable interrater, test-retest, and strong internal consistency reliabilities. Generalizability theory analyses reveal that dependability of scores from the instrument are strong, particularly by including a second observer who conducts a site visit and independently completes an instrument, or by a single observer conducting two site visits and completing instruments during each visit. Scoring guidelines based on the total sample of observations (N = 358) help guide those who want to use the measure to interpret both subscale and total scores. Content validity was supported by two expert panels of people experienced in the assisted-living field, and a content validity index calculated for the first version of the scale is high (3.43 on a four-point scale). The OIQ-AL gives reliable and valid scores for researchers, and may be useful for consumers, providers, and others interested in measuring quality of care in assisted-living facilities.
 Attitude of Health Personnel Choice Behavior Factor Analysis, Statistical Focus Groups Health Services Accessibility Humans Interior Design and Furnishings Lighting - standards Missouri Nursing Evaluation Research Nursing Homes - standards Nursing Methodology Research Observer Variation Outcome and Process Assessment, Health Care - methods Outcome and Process Assessment, Health Care - standards Patient Participation Psychometrics Quality Indicators, Health Care - standards Quality of Health Care - standards Statistics, Nonparametric Surveys and Questionnaires Wisconsin

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