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Psychometric Properties of the Preparedness Assessment for the Transition Home After Stroke Instrument
Michelle Camicia, Barbara J Lutz1, Jill G Joseph2
1School of Nursing, University of North Carolina-Wilmington.
Purpose:
The aim of this study was to evaluate psychometric properties of the Preparedness Assessment for the Transition Home After Stroke (PATH-s), a novel instrument to assess stroke caregiver commitment and capacity. The PATH-s instrument can be obtained at www.rehabnurse.org/pathtool.
Design:
The design of this study is cross-sectional.
Methods:
The PATH-s, the Preparedness for Caregiving Scale (PCS), the Patient Health Questionnaire, the Perceived Stress Scale, and the Global Health Scale were self-reported from a convenience sample of caregiver-stroke survivor dyads (n = 183) during inpatient rehabilitation.
Results:
Exploratory factor analysis revealed eight factors underlying the PATH-s structure. The PATH-s Cronbach's alpha of .90 demonstrated criterion-related validity with the PCS (r = .79, p < .01). Both the PATH-s and the PCS were negatively correlated with the Patient Health Questionnaire (r = -.26 and -.27, respectively; p < .01) and the Perceived Stress Scale (r = -.12 and -.15, respectively; p > .05) and positively correlated with the Global Health Scale (r = -.46 and .46, respectively; p < .01), indicating convergent validity.
Conclusions:
The PATH-s demonstrates excellent internal consistency and satisfactory criterion-related and convergent validity.
Clinical Relevance:
The PATH-s may be used to assess the risk/needs of caregivers over time.
