Capabilities and Quality of Life in Dutch Psycho-geriatric Nursing Homes: an Exploratory Study Using a Proxy Version of the ICECAP-O

Overview

Journal Qual Life Res

Specialties Pharmacology
Rehabilitation Medicine

Date 2011 Sep 7

PMID 21894489

Citations 37

Authors

Peter Makai

Werner B F Brouwer

Marc A Koopmanschap

Anna P Nieboer

Affiliations

Soon will be listed here.

Abstract

Purpose: To validate the ICECAP-O capability measure in psycho-geriatric elderly in nursing homes, we compared the capability scores of restrained and unrestrained clients. Both nursing staff and family were used as proxies for assessing clients' capabilities.

Method: For 122 psycho-geriatric elderly, a total of 96 nursing professionals and 68 family members completed a proxy questionnaire. We investigated the convergent and discriminant validity of the ICECAP-O and measures of care dependency, health-related quality of life, and overall quality of life. We also directly compared ICECAP-O scores of the 56 clients for whom both nursing staff and family members had completed the questionnaire.

Results: Convergent validity between ICECAP-O and care dependency, health-related, and overall quality of life measures could be established, as well as discriminant validity for the restrained and unrestrained groups. Nursing and family proxy ICECAP-O tariffs were not significantly correlated.

Discussion: ICECAP-O measures a more general concept than health-related quality of life and can differentiate between restrained and non-restrained psycho-geriatric clients. Since nurses seem to be able to assess the current quality of life of clients using the ICECAP-O more precisely than the family proxies, for now the use of nursing proxies is recommended in a nursing home setting.

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