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The Nursing Home Behavior Problem Scale.

W A Ray1, J A Taylor, M J Lichtenstein

  • 1Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville.

Journal of Gerontology
|January 1, 1992
PubMed
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The Nursing Home Behavior Problem Scale (NHBPS) effectively measures serious behavioral issues in residents. This validated tool aids research into managing challenging behaviors and reducing restraint use in nursing homes.

Area of Science:

  • Gerontology
  • Psychiatry
  • Nursing Research

Background:

  • Behavioral disturbances are common in nursing home residents.
  • These issues often lead to the use of physical or chemical restraints.
  • There is a need for reliable instruments to quantify these behaviors for research.

Purpose of the Study:

  • To develop and validate the Nursing Home Behavior Problem Scale (NHBPS).
  • To provide a research tool for assessing serious behavior problems in nursing home settings.
  • To support research aimed at improving the management of behavioral disturbances.

Main Methods:

  • Development of a 29-item inventory (NHBPS) for completion by nursing staff.
  • Data collection from 431 residents in Tennessee and 122 in Texas.

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  • Assessment of interrater reliability and correlation with existing scales (NOSIE, CMAI).

    • Main Results:

    • High interrater correlations were found (r=.754 in TN, r=.827 in TX).
    • NHBPS showed strong correlations with NOSIE (r=-.747) and CMAI (r=.911).
    • Higher NHBPS scores were associated with mental impairment and sedative/restraint use.

    Conclusions:

    • The NHBPS is a reliable and valid research instrument.
    • It accurately measures serious behavior problems in nursing home residents.
    • The scale can facilitate research on behavioral management and restraint reduction.