a Department of Social Work and Social Administration , University of Hong Kong , Hong Kong , China.
Aging Ment Health. 2013;17(8):952-8. doi: 10.1080/13607863.2013.790925. Epub 2013 May 7.
Person-centered care (PCC) is one of the most desirable approaches for elderly with dementia. However, it has not been initiated and systematically studied in China, on which lacking of reliable and valid measurement tools is one of the key barriers. This paper aims to validate person-centered care assessment tools (P-CAT) in a Chinese context.
The original 13-item was translated and back translated. And 11 items were added based on literature review and expert consultation. The resulting 24-item P-CAT-C was validated among a sample of formal caregivers (n = 330) in all 34 residential care facilities in urban Xi'an, a representative city in north-western China. Chinese versions of staff-based measures of individualized care for institutionalized persons with dementia (IC) and caregiver psychological elder abuse behavior (CPEAB) scale were used to test the criterion validity.
Confirmatory factor analysis (CFA) showed that a three-factor 15-item solution provided adequate fit indices to the data (χ(2) = 145.691, df = 81, p < 0.001, comparative fit index (CFI) = 0.926, Tucker-Lewis index (TLI) = 0.905, root mean square error of approximation (RMSEA) = 0.050). Four new items were identified and two original items were excluded. The three factors are named as (1) individualized care (6-item); (2) organizational support (6-item); and (3) environmental accessibility (3-item). The internal consistency coefficient (Cronbach's α = 0.684) is satisfactory. The interscale correlation among P-CAT-C, IC, and CPEAB showed good criterion validity.
P-CAT-C is a culturally adapted version of the original P-CAT, which showed satisfactory reliability and validity for evaluating PCC in Chinese residential care facilities. It also provides insight to other developing countries.
以患者为中心的护理（PCC）是最受老年痴呆症患者欢迎的方法之一。然而，在中国尚未开展和系统研究这种护理方法，缺乏可靠和有效的测量工具是其中的一个关键障碍。本文旨在验证以患者为中心的护理评估工具（P-CAT）在中国的适用性。
对原始的 13 项进行翻译和回译。并根据文献回顾和专家咨询增加了 11 项。由此产生的 24 项 P-CAT-C 在西安市 34 家养老院的正式照顾者（n=330）样本中进行了验证，西安市是中国西北地区的一个有代表性的城市。使用基于工作人员的个体化护理评估工具（IC）和照顾者心理虐待行为量表（CPEAB）的中文版来测试效标效度。
验证性因子分析（CFA）显示，三因素 15 项解决方案为数据提供了足够的拟合指数（χ²=145.691，df=81，p<0.001，比较拟合指数（CFI）=0.926，Tucker-Lewis 指数（TLI）=0.905，近似均方根误差（RMSEA）=0.050）。确定了 4 项新条目，并删除了 2 项原始条目。这三个因素分别命名为（1）个体化护理（6 项）；（2）组织支持（6 项）；和（3）环境可达性（3 项）。内部一致性系数（Cronbach's α=0.684）令人满意。P-CAT-C 与 IC 和 CPEAB 之间的量表相关性具有良好的效标效度。
P-CAT-C 是原始 P-CAT 的文化适应版本，在中国养老院中评估以患者为中心的护理具有令人满意的信度和效度。它还为其他发展中国家提供了参考。
