Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.

<h4>Objectives</h4>To validate the ICECAP-O capability wellbeing measure's German translation in older people with dementia living in a nursing home, and to investigate the influence of proxy characteristics on responses.<h4>Method</h4>Cross-sectional study. For 95 resid...

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Autores principales:	Peter Makai, Franziska Beckebans, Job van Exel, Werner B F Brouwer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6caf2d2b692c4248b51abdbb641097d0
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spelling	oai:doaj.org-article:6caf2d2b692c4248b51abdbb641097d02021-11-18T08:28:05ZQuality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.1932-620310.1371/journal.pone.0092016https://doaj.org/article/6caf2d2b692c4248b51abdbb641097d02014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24632775/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objectives</h4>To validate the ICECAP-O capability wellbeing measure's German translation in older people with dementia living in a nursing home, and to investigate the influence of proxy characteristics on responses.<h4>Method</h4>Cross-sectional study. For 95 residents living in a German nursing home, questionnaires were completed by nursing professionals serving as proxy respondents. We investigated the convergent validity of the ICECAP-O with other Quality of Life (Qol) measures, the EQ-5D extended with a cognitive dimension (EQ-5D+C), the Alzheimer's Disease Related Quality of Life (ADRQL) measures, and the Barthel-index measure of Activities of Daily Living (ADL). Discriminant validity was investigated using bivariate and multivariate stepwise regression analysis, comparing ICECAP-O scores between subgroups varying in dementia severity, care dependency, ADL status and demographic characteristics.<h4>Results</h4>Convergent validity between the ICECAP-O, EQ-5D+C, ADRQL and Barthel-Index scores was moderate to good (with correlations of 0.72, 0.69 and 0.53 respectively), but differed considerably between dimensions of the instruments. Discriminant validity was confirmed by finding differences in ICECAP-O scores between subgroups based on ADL scores (0.58 below 65 points on the Barthel-index and 0.80 above 65 points) and other characteristics. The ICECAP-O scores based on available tariffs were related to proxy characteristics gender (0.52 males versus 0.65 females) and work experience (0.61 below 2 years of experience versus 0.68 above 2 years).<h4>Discussion</h4>The results of this study suggest that the ICECAP-O is a promising generic measure for general Qol and capability of people with dementia living in a nursing home. Validity tests generally yielded favorable results. Work experience and gender appeared to influence proxy response, which raises questions regarding appropriate proxies, especially since the ICECAP-O may be completed by proxies relatively often. Further research is necessary to validate the German version of the ICECAP-O, with specific attention to proxy completion for people with dementia.Peter MakaiFranziska BeckebansJob van ExelWerner B F BrouwerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 3, p e92016 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Peter Makai Franziska Beckebans Job van Exel Werner B F Brouwer Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
description	<h4>Objectives</h4>To validate the ICECAP-O capability wellbeing measure's German translation in older people with dementia living in a nursing home, and to investigate the influence of proxy characteristics on responses.<h4>Method</h4>Cross-sectional study. For 95 residents living in a German nursing home, questionnaires were completed by nursing professionals serving as proxy respondents. We investigated the convergent validity of the ICECAP-O with other Quality of Life (Qol) measures, the EQ-5D extended with a cognitive dimension (EQ-5D+C), the Alzheimer's Disease Related Quality of Life (ADRQL) measures, and the Barthel-index measure of Activities of Daily Living (ADL). Discriminant validity was investigated using bivariate and multivariate stepwise regression analysis, comparing ICECAP-O scores between subgroups varying in dementia severity, care dependency, ADL status and demographic characteristics.<h4>Results</h4>Convergent validity between the ICECAP-O, EQ-5D+C, ADRQL and Barthel-Index scores was moderate to good (with correlations of 0.72, 0.69 and 0.53 respectively), but differed considerably between dimensions of the instruments. Discriminant validity was confirmed by finding differences in ICECAP-O scores between subgroups based on ADL scores (0.58 below 65 points on the Barthel-index and 0.80 above 65 points) and other characteristics. The ICECAP-O scores based on available tariffs were related to proxy characteristics gender (0.52 males versus 0.65 females) and work experience (0.61 below 2 years of experience versus 0.68 above 2 years).<h4>Discussion</h4>The results of this study suggest that the ICECAP-O is a promising generic measure for general Qol and capability of people with dementia living in a nursing home. Validity tests generally yielded favorable results. Work experience and gender appeared to influence proxy response, which raises questions regarding appropriate proxies, especially since the ICECAP-O may be completed by proxies relatively often. Further research is necessary to validate the German version of the ICECAP-O, with specific attention to proxy completion for people with dementia.
format	article
author	Peter Makai Franziska Beckebans Job van Exel Werner B F Brouwer
author_facet	Peter Makai Franziska Beckebans Job van Exel Werner B F Brouwer
author_sort	Peter Makai
title	Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
title_short	Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
title_full	Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
title_fullStr	Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
title_full_unstemmed	Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.
title_sort	quality of life of nursing home residents with dementia: validation of the german version of the icecap-o.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/6caf2d2b692c4248b51abdbb641097d0
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Quality of life of nursing home residents with dementia: validation of the German version of the ICECAP-O.

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