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Reliability and Validity of the Function-Focused Care Checklist for Caregivers
Barbara Resnick1, Marie Boltz2, Elizabeth Galik1
1University of Maryland School of Nursing, Baltimore, MD, USA.
Summary
The Function-Focused Care Checklist for Caregivers demonstrates good reliability and validity for assessing care practices in assisted living facilities. This tool can help train caregivers to improve resident function.
Area of Science:
- Gerontology
- Healthcare Quality Improvement
- Psychometrics
Background:
- Function-focused care (FFC) promotes resident independence and well-being in assisted living.
- Reliable and valid tools are essential for measuring FFC implementation by caregivers.
Purpose of the Study:
- To evaluate the psychometric properties of the Function-Focused Care Checklist for Caregivers (FFC-C).
- To determine the reliability and validity of the FFC-C using Rasch analysis.
Main Methods:
- Descriptive study utilizing data from a larger implementation trial.
- Rasch analysis applied to 691 staff-resident observations across 85 assisted living facilities.
Main Results:
- The FFC-C exhibited strong internal consistency (alpha = .93).
- Evidence of construct validity was found, with a noted outlier for wheelchair mobility.
- Hypothesis testing confirmed increased FFC performance by caregivers over 12 months.
Conclusions:
- The FFC-C is a psychometrically sound measure for assessing function-focused care.
- Findings support the use of the FFC-C in clinical settings for caregiver training.
- The study provides recommendations for refining the FFC-C.
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