title: The MDS Challenging Behavior Profile for long-term care.
abstract: The objective was to construct a reliable and valid challenging behavior scale with items from the Minimum Data Set (MDS). Exploratory factor analyses of a sample of 656 nursing home residents yielded a 16-item Behavior Profile containing four internally consistent and valid subscales measuring conflict behavior, withdrawn behavior, agitation and attention seeking behavior (alpha range: 0.69-0.80). On a second dataset of 227 nursing home residents, internal consistency, inter-rater reliability and validity against the Behavior Rating Scale for Psychogeriatric Inpatients (GIP) were established. Internal consistency of the subscales ranged between 0.54 and 0.78. The overall inter-rater reliability of the items was 0.53 (kappa); of the scale it was 0.75 (ICC). The MDS Challenging Behavior Profile could potentially be an important contribution to existing clinical MDS-scales but additional studies on reliability, validity and usefulness are needed.
authors.affiliation: Heyendaal Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
authors.forename: D L
authors.initials: DL
authors.lastname: Gerritsen
authors.forename: W P
authors.initials: WP
authors.lastname: Achterberg
authors.forename: N
authors.initials: N
authors.lastname: Steverink
authors.forename: A M
authors.initials: AM
authors.lastname: Pot
authors.forename: D H M
authors.initials: DH
authors.lastname: Frijters
authors.forename: M W
authors.initials: MW
authors.lastname: Ribbe
mesh_terms: D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D000374:Aggression; D000704:Analysis of Variance; D017028:Caregivers; D005260:Female; D015577:Geriatric Assessment / Q000145:classification*; D006801:Humans; D007406:Interview, Psychological; D008134:Long-Term Care / Q000523:psychology*; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D009735:Nursing Homes; D011237:Predictive Value of Tests; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D015203:Reproducibility of Results