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Quality of Life Research
Gepubliceerd in: Quality of Life Research 7/2014

01-09-2014

Measurement properties of the Client-centered Care Questionnaire (CCCQ): factor structure, reliability and validity of a questionnaire to assess self-reported client-centeredness of home care services in a population of frail, older people

Auteurs: M. E. Muntinga, L. B. Mokkink, D. L. Knol, G. Nijpels, A. P. D. Jansen

Gepubliceerd in: Quality of Life Research | Uitgave 7/2014

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Abstract

Background

The increasing and specific use of home care services by frail, older people asks for the evaluation of the client-centeredness of these services. To our knowledge, no instrument that measures client-centeredness of home care from this group’s unique perspective exists. We therefore tested the factor structure, reliability, content validity and acceptability of the Client-centered Care Questionnaire (CCCQ), an existing instrument developed for general home care users, in a population of frail, older people in the Netherlands.

Methods

We used data from a 2-year clinical trial. Study population: frail, older people who received home care. Data were collected at baseline (n = 600) and 24-month measurements (n = 389); retest data (n = 67) were collected 7–14 days after the 24-month measurements. Analyses: We performed confirmatory factor analysis, investigated reliability and validity parameters and assessed acceptability.

Results

The factor analysis yielded a bifactor model with essential unidimensionality. Internal consistency was high (omega total .88). We found a test–retest reliability of total test scores of .81; the standard error of measurement was 2.61 (total score range 15–75) and the limits of agreement were −7.03 and 7.86. We rejected three out of four hypotheses for construct validity.

Conclusions

The CCCQ is sufficiently unidimensional to permit the use of total test scores. We found acceptable reliability values, but considered our results on construct validity inconclusive. Respondents found the CCCQ questions challenging to answer, which is indicative of a high degree of respondent burden. Future instruments that measure client-centeredness of home care from the frail, older client’s perspective should therefore be tailored to the specific circumstances of this population.
vorige artikel The assessment of publication pressure in medical science; validity and reliability of a Publication Pressure Questionnaire (PPQ)
volgende artikel Psychometric properties of the eight-item modified Medical Outcomes Study Social Support Survey based on Spanish outpatients
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Metagegevens
Titel
Measurement properties of the Client-centered Care Questionnaire (CCCQ): factor structure, reliability and validity of a questionnaire to assess self-reported client-centeredness of home care services in a population of frail, older people
Auteurs
M. E. Muntinga
L. B. Mokkink
D. L. Knol
G. Nijpels
A. P. D. Jansen
Publicatiedatum
01-09-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0650-7

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