The Revised Memory and Behavior Problems Checklist--Nursing Home: instrument development and measurement of burden among certified nursing assistants.
Confirmatory factor analysis of the Revised Memory and Behavior Problems Checklist--Nursing Home (RMBPC) replicated the factor structure of the community-based RMBPC (L. Teri et al., 1992). The reliability of the total score was high as indexed by estimates of internal consistency (alpha = .95), test-retest reliability (r = .86), and interrater reliability between 2 interviewers (r = .88). Notably, the interrater reliability between 2 independent certified nursing assistants (CNAs) regarding residents' behavior problem frequency was more modest (r = .46), possibly reflecting the degree to which resident behaviors capture individual CNA's attention. This may have implications for the interpretation of data from the Minimum Data Set. CNAs reported moderately severe burden associated with behavior problems in 47% of residents under their care.
Allen
Rebecca S
RS
Department of Psychology, Center for Mental Health and Aging, University of Alabama at Tuscaloosa, 35487-0348, USA. rsallen@bama.ua.edu
Burgio
Louis D
LD
Roth
David L
DL
Ragsdale
Rachael
R
Gerstle
John
J
Bourgeois
Michelle S
MS
Dijkstra
Katinka
K
Teri
Linda
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology; D017281:Cost of Illness; D003704:Dementia / Q000150:complications* / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008569:Memory Disorders; D008875:Middle Aged; D009728:Nursing Assistants; D009735:Nursing Homes; D011369:Professional-Patient Relations; D012720:Severity of Illness Index; D012920:Social Behavior Disorders; D000078329:Workforce