title: Reliability and validity of a person-centered care staff survey in veterans health administration community living centers.
abstract: OBJECTIVE
  The objective of this study was to test and revise a staff assessment of person-centered care (PCC) within the Veterans Health Administration (VA) Community Living Center (CLC) setting.
  
  
  METHODS
  Starting with measures of PCC initially developed through the Better Jobs Better Care (BJBC) study, we conducted cognitive interviews with CLC staff to assess applicability to the VA setting. We then (a) modified the questionnaire based on respondent feedback, (b) administered the revised survey via Internet to 265 staff at 8 VA CLCs, and (c) examined the psychometric properties of the revised 50-item BJBC PCC instrument using multitrait analysis.
  
  
  RESULTS
  Scale reliabilities met the criterion for group comparisons (alpha levels ranged from 0.84 to 0.91). The pattern of item correlations and intra- and interscale correlations indicating convergent and discriminant validity, respectively, were both 100%.
  
  
  CONCLUSIONS
  Our results support the broader use of the BJBC survey within VA. In addition, given the high levels of internal consistency reliability of the current scales, it is likely that a psychometrically sound short form of the instrument could be created. Further research on construct and convergent validity are warranted to support the broader application of the instrument.
authors.affiliation: Center for Organization, Leadership and Management Research COLMR, VA Boston Healthcare System, 150 South Huntington Ave. 152M, Boston, MA 02130, USA. jennifer.sullivan@va.gov
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Sullivan
authors.forename: Mark
authors.initials: M
authors.lastname: Meterko
authors.forename: Errol
authors.initials: E
authors.lastname: Baker
authors.forename: Kelly
authors.initials: K
authors.lastname: Stolzmann
authors.forename: Omonyêlé
authors.initials: O
authors.lastname: Adjognon
authors.forename: Konique
authors.initials: K
authors.lastname: Ballah
authors.forename: Victoria A
authors.initials: VA
authors.lastname: Parker
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008134:Long-Term Care; D008297:Male; D018802:Patient-Centered Care; D011594:Psychometrics / Q000295:instrumentation* / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014481:United States; D014493:United States Department of Veterans Affairs; D014728:Veterans