Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)

Antonio Riquelme-Marín, Marta Martín-Carbonell, Juan M. Ortigosa-Quiles and Inmaculada Méndez
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Antonio Riquelme-Marín: Department of Personality, Assessment and Psychological Treatments, University of Murcia, 30100 Murcia, Spain
Marta Martín-Carbonell: Faculty of Psychology, Universidad Cooperativa de Colombia, Santa Marta 470006, Colombia
Juan M. Ortigosa-Quiles: Department of Personality, Assessment and Psychological Treatments, University of Murcia, 30100 Murcia, Spain
Inmaculada Méndez: Department of Evolutionary and Educational Psychology, University of Murcia, 30100 Murcia, Spain

IJERPH, 2020, vol. 17, issue 20, 1-17

Abstract: Background : Admitting an older adult to a nursing home involves significant adjustment efforts by the family. Our goal was to prepare an assessment instrument for this, given that there was none to date. Method : Participants—134 relatives from different nursing homes in the region of Murcia. Instruments—structured interview for socio-demographic information, satisfaction with the nursing home, well-being and health self-assessment, Radloff’s Depression Questionnaire (CES-D), and the first version of CAFIAR. Results : A 15-item instrument with three factors was obtained: Factor 1 (Unease due to admitting an older adult to a nursing home), Factor 2 (Relief), and Factor 3 (Nostalgia and concern for the older adult), in addition to a general adjustment index, with a Cronbach’s alpha of 0.74. The general adjustment index and the subscales that demonstrate poor adjustment were significantly correlated with depression and a worse health self-assessment, while the Relief subscale, which indicates better adjustment, was significantly correlated with well-being and a positive health self-assessment. Conclusions : The family adjustment in admitting an older adult to a nursing home questionnaire (CAFIAR) has adequate psychometric properties to assess family adaptation in admitting an older adult to an institution.

Keywords: family adjustment; nursing home; questionnaire development; psychometric properties (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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