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Psychometric characteristics of the Minimum Data Set I: confirmatory factor analysis
Author(s)Robin Casten, M Powell Lawton, Patricia A Parmelee
Journal titleJournal of the American Geriatrics Society, vol 46, no 6, June 1998
Pagespp 726-735
KeywordsHealth [elderly] ; Cognitive processes ; Patients [nursing homes] ; Evaluation ; United States of America.
AnnotationThe federally mandated Minimum Data Set (MDS) is a 284-item instrument designed to assess the medical, psychological, and social characteristics of nursing home residents. This is the first report of a study which aimed to determine the structure, statistical reliability, and validity of the MDS. Confirmatory, hypothesis-testing factor analysis was performed on MDS protocols of 733 nursing home residents, some higher functioning and some with probable dementia. MDS protocols were completed by nurse care coordinators. Items composites hypothesised represented the domains of cognition, activities of daily living (ADL), time use, social quality, depression, and problem behaviours. Results showed that for higher functioning residents (336) and for all residents together, all domain clusters except social quality were confirmed. None of the domain clusters were confirmed within the more impaired group (391). The study concluded that lack of reliability in rating aspects of the behaviour and states of cognitively impaired residents was evident, and improvements of such measures and rating procedures constitutes a major research priority. (AKM).
Accession NumberCPA-981005405 A
ClassmarkCC: DA: LHB:LF: 4C: 7T

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