The CARES® observational tool: A valid and reliable instrument to assess person-centered dementia care

Joseph E. Gaugler; John V. Hobday; Kay Savik

doi:10.1016/j.gerinurse.2013.01.002

The CARES^® observational tool: A valid and reliable instrument to assess person-centered dementia care

Joseph E. Gaugler, John V. Hobday, Kay Savik

Research output: Contribution to journal › Article › peer-review

21 Scopus citations

Abstract

The goal of the current study was to develop a valid and reliable tool to measure whether person-centered care is delivered by direct care workers to persons with dementia. Face validity was initially established through multiple revisions of the CARES^® Observational Tool (COT™) by members of the study team. Afterward, content validity of the COT was established by piloting the tool on 31 observations across 7 nursing homes and review by an interdisciplinary panel of nine scientific experts. The final 16-item version of the COT was then tested for inter-rater reliability by 5 reviewers across 5 standardized dementia care videos. An intra-class coefficient of all possible Kappa coefficients resulted in an ICC of 77. The brief and easy-to-use COT has potential to assess person-centered care interactions between direct care workers and persons with dementia.

Original language	English (US)
Pages (from-to)	194-198
Number of pages	5
Journal	Geriatric Nursing
Volume	34
Issue number	3
DOIs	https://doi.org/10.1016/j.gerinurse.2013.01.002
State	Published - May 2013

Bibliographical note

Funding Information:
This research was supported by a grant from the National Institute on Aging ( AG023451 ; John V. Hobday, Principal Investigator). Mr. Hobday, creator of the CARES© Observational Tool, is the Chief Executive Officer of HealthCare Interactive Incorporated, the company that has developed and is selling the CARES ® online training programs. Ms. Savik is a Co-Investigator and biostatistician of the National Institute on Aging grant that supported the results presented in this paper. Dr. Gaugler is a scientific consultant with HealthCare Interactive, Incorporated. The authors would like to thank Merrie Kaas, Georgia Lane, Deborah Richman, Ashley Brooks-Danso (dearly departed), Lou Burgio, Deborah Lindgren-Clendenen, Mary Mittelman, Lynne Morishita, Lisa Nelson, Mark Sager, and Stan Smith for their assistance in the measurement development process.

Keywords

Alzheimer's disease
Direct care workers
Education
Nursing homes
Online
Staff
Technology
Training

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1016/j.gerinurse.2013.01.002

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abstract = "The goal of the current study was to develop a valid and reliable tool to measure whether person-centered care is delivered by direct care workers to persons with dementia. Face validity was initially established through multiple revisions of the CARES{\textregistered} Observational Tool (COT{\texttrademark}) by members of the study team. Afterward, content validity of the COT was established by piloting the tool on 31 observations across 7 nursing homes and review by an interdisciplinary panel of nine scientific experts. The final 16-item version of the COT was then tested for inter-rater reliability by 5 reviewers across 5 standardized dementia care videos. An intra-class coefficient of all possible Kappa coefficients resulted in an ICC of 77. The brief and easy-to-use COT has potential to assess person-centered care interactions between direct care workers and persons with dementia.",

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