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Giving Voice to the Vulnerable

The Development of a CAHPS Nursing Home Survey Measuring Family Members’ Experiences

Bibliographic Data

ID9101194
AuthorsElizabeth M Frentzel, Elizabeth Frentzel (0000-0003-1070-5410, American Institutes for Research, corresponding author), Judith A Sangl, Judith Sangl (Agency for Healthcare Research and Quality), Christian T Evensen, Christian Evensen (American Institutes for Research, corresponding author), Carol Cosenza (0000-0003-2948-024X, University of Massachusetts Boston), Julie A Brown (0000-0002-6463-2360, RAND Corporation), San Keller, S auf dem Keller (American Institutes for Research, corresponding author), Steven A Garfinkel, Steven Garfinkel (0000-0002-0393-0954, American Institutes for Research, corresponding author)
Year2012
Volume50
PagesS20-S27
Publication date2012-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31826b1068
PMID23064273
OpenAlexW111840533
LanguageEN
Citations received2
References cited18

Background: To complement a nursing home resident survey, the team developed a survey asking family members about their experiences with nursing homes. Although a family member does not receive care directly from a nursing home, their experiences at the nursing home and with staff can contribute to understanding nursing home quality. Objectives: To describe how the nursing home family member instrument was developed, refined, tested, and finalized. Research Design: The team developed a draft survey using information from a literature review, 12 focus groups with family members involved in choosing a nursing home for someone, review of nursing home surveys, and expert/stakeholder input. The survey went through 2 rounds of cognitive interviews (n=54) and revisions and was fielded in 15 nursing homes. Data from the pilot survey (n=885) were subjected to psychometric analyses to evaluate the measurement properties of items as well as the reliability and validity of the resulting composites. On the basis of these analyses and input from experts, the survey was finalized. Results: Focus groups and experts provided input into discerning important indicators of quality, although in some cases family members were not the best sources of information. Cognitive testing refined the survey and eliminated some of the proxy items. The field test analysis and input from experts eliminated 10 items. The final survey included 21 items organized into 4 composites. Conclusions: This survey measures family members’ experiences of nursing home care, and the results contribute to the understanding of quality of care in nursing homes

Communication · Computer Science · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Palliative Care and End-of-Life Issues · Psychology

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Unique citing works2
Citations per year0.17
Citation span2014 - 2016 (3)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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