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Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users
Health and Social Care in the Community ( IF 2.0 ) Pub Date : 2021-02-27 , DOI: 10.1111/hsc.13328
Lien Nguyen 1 , Ismo Linnosmaa 1, 2 , Hanna Jokimäki 1 , Stacey Rand 3 , Juliette Malley 4 , Kamilla Razik 3 , Birgit Trukeschitz 5 , Julien Forder 3
Affiliation  

The Adult Social Care Outcomes Toolkit four response‐level interview schedule (ASCOT INT4) for service users was translated into Finnish. The aim of this paper was to investigate the construct validity and structural characteristics of the Finnish ASCOT. We used data from a face‐to‐face interview survey of older people receiving publicly funded home care services, which was conducted in 2016–2017 (n = 493), excluding missing values and proxy respondents (n = 334). Chi‐square tests, adjusted residuals and analyses of variance were used to examine hypothesised associations between each attribute and a number of relevant variables regarding health and well‐being, disabilities, living arrangements, social contact and support, experience of service use, and the nature of the locality and environment. Structural characteristics were explored using exploratory factor analysis and Cronbach's alpha test. The EQ‐5D‐3L and ASCOT were moderately correlated (r = 0.429; p < 0.001). The ASCOT attributes were statistically positively related to the overall quality of life. For other tested variables, we found a high number of significant associations with the control over daily life, occupation, social participation, and personal cleanliness attributes, but fewer significant associations with the other attributes. Cronbach's alpha was 0.697 and a single factor was extracted. This assessment provides evidence to support the construct validity of the Finnish ASCOT. The results support the introduction of the Finnish ASCOT into Finland for use in practical applications. Future research on its reliability would be useful.

中文翻译:

芬兰的社会关怀相关结果。芬兰 ASCOT 测量对老年家庭护理用户的构建效度和结构特征

面向服务用户的成人社会关怀成果工具包四响应级别访谈时间表 (ASCOT INT4) 已翻译成芬兰语。本文的目的是调查芬兰 ASCOT 的结构效度和结构特征。我们使用了 2016-2017 年对接受公共资助的家庭护理服务的老年人进行的面对面访谈调查的数据(n  = 493),不包括缺失值和代理受访者(n = 334)。卡方检验、调整残差和方差分析用于检查每个属性与许多有关健康和福祉、残疾、生活安排、社会联系和支持、服务使用经验以及当地和环境的性质。使用探索性因素分析和 Cronbach α 检验探索结构特征。EQ-5D-3L 和 ASCOT 呈中度相关(r = 0.429;p < 0.001)。ASCOT 属性与整体生活质量在统计学上呈正相关。对于其他测试变量,我们发现与日常生活、职业、社会参与和个人清洁属性的控制有大量显着关联,但与其他属性的显着关联较少。Cronbach's alpha 为 0.697,提取了单个因子。该评估提供了支持芬兰 ASCOT 结构效度的证据。结果支持将芬兰 ASCOT 引入芬兰以用于实际应用。未来对其可靠性的研究将是有用的。
更新日期:2021-04-29
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