Care Staff’s Daily Living Decision-Making Support Scale for Older Adults with Dementia in Japan: Development of Validity and Reliability

Mizue Suzuki (), Takuya Kanamori, Yukio Koide, Yatami Asai, Masako Sato, Tomoyoshi Naito, Keigo Inagaki and Masao Kanamori
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Mizue Suzuki: Faculty of Nursing, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan
Takuya Kanamori: Faculty of Nursing, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan
Yukio Koide: Nishiyama Hospital Group, Hamamatsu 431-3192, Japan
Yatami Asai: Geriatric Health Services Facility Mikatahara Bethel Home, Hamamatsu 431-3104, Japan
Masako Sato: Seirei Mikatahara General Hospital, Hamamatsu 433-8558, Japan
Tomoyoshi Naito: Faculty of Nursing, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan
Keigo Inagaki: Faculty of Nursing, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu 431-3192, Japan
Masao Kanamori: College of Sport and Health Sciencies, Ritsumeikan University, Kusatsu 525-8577, Japan

IJERPH, 2022, vol. 19, issue 20, 1-10

Abstract: This study aimed to develop and validate a scale to assess the daily-living decision-making support of care staff for older adults with dementia (OwDs) in Japan. A questionnaire survey was conducted among 138 care staff at two geriatric healthcare facilities from February to March 2021. The Daily Living Decision-Making Support Scale for Older Adults with Dementia (DL-DM) was developed using item analysis, factor analysis, and covariance structure analysis. The factor analysis yielded 12 items and three factors: (1) support for the formation and expression of intentions in daily life based on the life background and values of OwDs; (2) attitudes and devising ways to communicate regarding the formation and expression of intentions in OwDs daily lives; and (3) devising ways to support OwDs in realizing their intentions in daily life. The internal consistency reliability analysis yielded a Cronbach’s α of 0.87 for the total scale. The DL-DM correlated with the concurrent validity measures as expected. The DL-DM demonstrated validity and reliability as a potential scale to assess support for OwDs in daily life decision-making. The results also suggest an association between the DL-DM and person-centered care for OwDs.

Keywords: caregivers; decision-making; dementia; geriatrics; surveys; questionnaires (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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