The MDS Challenging Behavior Profile for long-term care.
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a 16-item Behavior Profile containing four internally consistent and valid subscales measuring conflict behavior, withdrawn behavior, agitation and attention seeking behavior (alpha range: 0.69-0.80).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.
Gerritsen
D L
DL
Heyendaal Institute, Radboud University Nijmegen, Nijmegen, The Netherlands.
Achterberg
W P
WP
Steverink
N
N
Pot
A M
AM
Frijters
D H M
DH
Ribbe
M W
MW
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