The Development and Content Validation of the Care Partner Hospital Assessment Tool
Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will e...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-07-01
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| Series: | Nursing Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-4403/11/3/49 |
| _version_ | 1797517784820744192 |
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| author | Beth Fields Richard Schulz Lauren Terhorst Madeline Carbery Juleen Rodakowski |
| author_facet | Beth Fields Richard Schulz Lauren Terhorst Madeline Carbery Juleen Rodakowski |
| author_sort | Beth Fields |
| collection | DOAJ |
| description | Background/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT). Methods: Based on standard instrumentation methodology and an assessment framework recommended by the National Center on Caregiving at the Family Caregiving Alliance, three steps were followed to develop and validate CHAT: (1) generation of a 24-item tool grouped into three content domains (background, plans and preferences, skills and supports), and a survey by a multidisciplinary team, (2) administration of an online survey of care partners and experts, and (3) assessment of item and scale-content validity indices (I-CVI and S-CVI). Results: A total of four care partners that provide unpaid care to a family member or friend age 65 years or older with a chronic illness or disability either before or after a hospitalization, and 19 leading experts in gerontology, caregiving, and health services completed an online survey in English. Twenty-two items were accepted by having an I-CVI at or above the acceptable 78% cut point; the S-CVI for the tool was 85%. Most revisions to the tool were associated with modifying or clarifying language within each item. For example, participants shared the following open-ended suggestions for revising CHAT: (1) change the “do you prefer” sentence stem to “do you want” (<i>n</i> = 12), define “training” (<i>n</i> = 6), and (2) allow care partners to provide an unsure response (<i>n</i> = 5). Conclusion: CHAT may be a promising way to increase health care practitioner’s understanding of care partners’ backgrounds, preferences and plans, and potential information or training needs during a patient’s hospital stay. Initial evaluation of CHAT reveals strong conceptual development and content validity. |
| first_indexed | 2024-03-10T07:21:04Z |
| format | Article |
| id | doaj.art-3e0cd65b7e1c4012b01051353635df5e |
| institution | Directory Open Access Journal |
| issn | 2039-439X 2039-4403 |
| language | English |
| last_indexed | 2024-03-10T07:21:04Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj.art-3e0cd65b7e1c4012b01051353635df5e2023-11-22T14:33:54ZengMDPI AGNursing Reports2039-439X2039-44032021-07-0111352252910.3390/nursrep11030049The Development and Content Validation of the Care Partner Hospital Assessment ToolBeth Fields0Richard Schulz1Lauren Terhorst2Madeline Carbery3Juleen Rodakowski4Department of Kinesiology, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Psychology, University of Pittsburgh, Pittsburgh, PA 15260, USADepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USADepartment of Kinesiology, University of Wisconsin-Madison, Madison, WI 53706, USADepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USABackground/Objectives: When aging adults are hospitalized due to a major health event, they often turn to care partners (‘family members or friends’) for support. Assessment of care partners’ needs during hospital care may be important to inform and target information and skills training that will equip them to fulfill caregiving tasks for the aging adults. The objectives of this study were to develop and complete content validation of the Care Partner Hospital Assessment Tool (CHAT). Methods: Based on standard instrumentation methodology and an assessment framework recommended by the National Center on Caregiving at the Family Caregiving Alliance, three steps were followed to develop and validate CHAT: (1) generation of a 24-item tool grouped into three content domains (background, plans and preferences, skills and supports), and a survey by a multidisciplinary team, (2) administration of an online survey of care partners and experts, and (3) assessment of item and scale-content validity indices (I-CVI and S-CVI). Results: A total of four care partners that provide unpaid care to a family member or friend age 65 years or older with a chronic illness or disability either before or after a hospitalization, and 19 leading experts in gerontology, caregiving, and health services completed an online survey in English. Twenty-two items were accepted by having an I-CVI at or above the acceptable 78% cut point; the S-CVI for the tool was 85%. Most revisions to the tool were associated with modifying or clarifying language within each item. For example, participants shared the following open-ended suggestions for revising CHAT: (1) change the “do you prefer” sentence stem to “do you want” (<i>n</i> = 12), define “training” (<i>n</i> = 6), and (2) allow care partners to provide an unsure response (<i>n</i> = 5). Conclusion: CHAT may be a promising way to increase health care practitioner’s understanding of care partners’ backgrounds, preferences and plans, and potential information or training needs during a patient’s hospital stay. Initial evaluation of CHAT reveals strong conceptual development and content validity.https://www.mdpi.com/2039-4403/11/3/49hospitalscreeningcaregivingaginginstrumentation |
| spellingShingle | Beth Fields Richard Schulz Lauren Terhorst Madeline Carbery Juleen Rodakowski The Development and Content Validation of the Care Partner Hospital Assessment Tool Nursing Reports hospital screening caregiving aging instrumentation |
| title | The Development and Content Validation of the Care Partner Hospital Assessment Tool |
| title_full | The Development and Content Validation of the Care Partner Hospital Assessment Tool |
| title_fullStr | The Development and Content Validation of the Care Partner Hospital Assessment Tool |
| title_full_unstemmed | The Development and Content Validation of the Care Partner Hospital Assessment Tool |
| title_short | The Development and Content Validation of the Care Partner Hospital Assessment Tool |
| title_sort | development and content validation of the care partner hospital assessment tool |
| topic | hospital screening caregiving aging instrumentation |
| url | https://www.mdpi.com/2039-4403/11/3/49 |
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