title: Revising the Resistiveness to Care Scale.
abstract: The Resistiveness to Care Scale for Dementia of the Alzheimer's Type was developed to quantify care-resistant behavior. The purpose of this article is to explain how the instrument was modified and tested in two clinical studies that examined interventions to improve the oral hygiene of persons with dementia who resist care.
  
  
  
  After pilot testing, the revised instrument (RTC-r) was used in 7 facilities (N = 83 residents). Systematic training procedures were implemented to preserve reliability.
  
  
  
  Clinical validity was confirmed throughout the pilot and interventional studies. Reliability was assessed using inter-rater reliability, which ranged from 0.87 (p < .001) to 1.0 (p < .001) across 2,328 mouth care observations.
  
  
  
  The RTC-r validly and reliably measures care-resistant behavior in persons with dementia.
authors.affiliation: UAB School of Nursing, Birmingham, Alabama.
authors.forename: Rita A
authors.initials: RA
authors.lastname: Jablonski-Jaudon
authors.forename: Vicki
authors.initials: V
authors.lastname: Winstead
authors.forename: Corteza
authors.initials: C
authors.lastname: Jones-Townsend
authors.forename: Andres
authors.initials: A
authors.lastname: Azuero
authors.forename: Ellen
authors.initials: E
authors.lastname: Mahoney
authors.forename: Ann M
authors.initials: AM
authors.lastname: Kolanowski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000544:Alzheimer Disease / Q000451:nursing*; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D024802:Nurse's Role; D009735:Nursing Homes; D009910:Oral Hygiene / Q000451:nursing*; D016312:Treatment Refusal / Q000523:psychology*; D014481:United States