Testing the Reliability and Validity of the Revised Care Plan Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress in Persons With Dementia
Abstract
The Checklist for Evidence of Person-Centered Care Approaches for Behavioral and Psychological Symptoms of Distress (BPSD) in Care Plans was developed to assess the person-centeredness of care plans for nursing home residents living with behavioral and psychological symptoms associated with dementia. The purpose of the current study was to evaluate the reliability and validity of a revised version of the Checklist. Data from a larger randomized clinical trial testing the implementation of the Evidence of Integration Triangle for BPSD were used. One hundred seventy-nine care plans for 103 residents were examined. Descriptive statistics, Rasch analysis, and inter-rater reliability were used. The Checklist demonstrated evidence of inter-rater reliability and validity based on model fit and acceptable INFIT and OUTFIT statistics. This study serves as pilot work for future Checklist use and validation efforts on a larger scale. Findings encourage a discourse on the inclusion of BPSD and person-centered approaches in care plans for those living with dementia. [Research in Gerontological Nursing, 15(6), 303–311.]
- 2016). Person-centered care: A definition and essential elements. Journal of the American Geriatrics Society, 64(1), 15–18.
10.1111/jgs.13866 PMID:26626262 > . ( Crossref MedlineGoogle Scholar - 2019). Management of behavioral and psychological symptoms of dementia. Current Psychiatry Reports, 21(8), 66.
10.1007/s11920-019-1049-5 PMID:31264056 > ( Crossref MedlineGoogle Scholar - 2017a). MDS 3.0 frequency report 2017. https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Minimum-Data-Set-3-0-Public-Reports/Minimum-Data-Set-3-0-Frequency-Report.html > . (Google Scholar
- 2017b). State operations manual (100-07). https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Internet-Only-Manuals-IOMs-Items/CMS1201984.html > . (Google Scholar
- 2012). Behavioral and psychological symptoms of dementia. Frontiers in Neurology, 3, 73.
10.3389/fneur.2012.00073 PMID:22586419 > ( Crossref MedlineGoogle Scholar - 2022). Behavioral and psychological symptoms in dementia. In StatPearls. StatPearls Publishing. PMID:
31855379 > . ( MedlineGoogle Scholar - 2011). Trajectory of cognitive decline as a predictor of psychosis in early Alzheimer disease in the cardiovascular health study. The American Journal of Geriatric Psychiatry, 19, 160–168.
10.1097/JGP.0b013e3181e446c8 PMID:20808116 > ( Crossref MedlineGoogle Scholar - 2018). The fundamentals of person-centered care for individuals with dementia. The Gerontologist, 58(Suppl. 1), S10–S19.
10.1093/geront/gnx122 > ( Crossref MedlineGoogle Scholar - 2003). The measurement of interrater agreement. In Statistical methods for rates and proportions (3rd ed., pp. 598–626). Wiley.
10.1002/0471445428.ch18 > ( CrossrefGoogle Scholar - 1998). Uses of Rasch modeling in counseling psychology research. Journal of Counseling Psychology, 45, 30–45.
10.1037/0022-0167.45.1.30 > ( CrossrefGoogle Scholar - 2019). DICE approach: Guiding the caregiver in managing the behavioral symptoms of dementia. University of Michigan Press. > (Google Scholar
- 2015). Assessment and management of behavioral and psychological symptoms of dementia. BMJ (Clinical Research Ed.), 350, h369.
10.1136/bmj.h369 PMID:25731881 > ( Crossref MedlineGoogle Scholar - 2011). Neuropsychiatric symptoms and quality of life in patients with very mild and mild Alzheimer's disease. International Journal of Geriatric Psychiatry, 26, 473–482.
10.1002/gps.2550 PMID:21445998 > . ( Crossref MedlineGoogle Scholar - 2017). Determinants of behavioral and psychological symptoms of dementia: A scoping review of the evidence. Nursing Outlook, 65(5), 515–529.
10.1016/j.outlook.2017.06.006 PMID:28826872 > ( Crossref MedlineGoogle Scholar - 2022). Nursing home toolkit. http://www.nursinghometoolkit.com/index.html > . (Google Scholar
- 1977). The measurement of observer agreement for categorical data. Biometrics, 33(1), 159–174.
10.2307/2529310 PMID:843571 > ( Crossref MedlineGoogle Scholar - 2014). Resident outcomes of person-centered care in long-term care: A narrative review of interventional research. International Journal of Nursing Studies, 51(10), 1395–1415.
10.1016/j.ijnurstu.2014.04.003 > ( Crossref MedlineGoogle Scholar - 2002). What do infit and outfit, mean-square and standardized mean? Rasch Measurement Transactions, 16, 878. > (Google Scholar
- 2020). Pharmacotherapy of behavioral and psychological symptoms of dementia: State of the art and future progress. Frontiers in Pharmacology, 11, 1168.
10.3389/fphar.2020.01168 PMID:32848775 > ( Crossref MedlineGoogle Scholar - 2014). Differentiating levels of cognitive functioning: A comparison of the Brief Interview for Mental Status (BIMS) and the Brief Cognitive Assessment Tool (BCAT) in a nursing home sample. Aging & Mental Health, 18(7), 921–928.
10.1080/13607863.2014.899971 PMID:24679128 > ( Crossref MedlineGoogle Scholar - 2018). State of the science: Apathy as a model for investigating behavioral and psychological symptoms in dementia. Journal of the American Geriatrics Society, 66(Suppl. 1), S4–S12.
10.1111/jgs.15343 > ( Crossref MedlineGoogle Scholar - 2018). Person-centered assessment and care planning. The Gerontologist, 58(1, Suppl. 1), S32–S47.
10.1093/geront/gnx173 PMID:29361071 > ( Crossref MedlineGoogle Scholar - 2009). A systematic review of neuropsychiatric symptoms in mild cognitive impairment. Journal of Alzheimer's Disease, 18, 11–30.
10.3233/JAD-2009-1120 PMID:19542627 > ( Crossref MedlineGoogle Scholar - 2017). Barriers and facilitators to the implementation of person-centred care in different healthcare contexts. Scandinavian Journal of Caring Sciences, 31(4), 662–673.
10.1111/scs.12376 PMID:27859459 > ( Crossref MedlineGoogle Scholar - 2018). Reliability and validity of the care plan checklist for evidence of person-centered approaches for behavioral and psychological symptoms associated with dementia. Journal of the American Medical Directors Association, 19(7), 613–618.
10.1016/j.jamda.2017.10.021 > ( Crossref MedlineGoogle Scholar - 2007). Reliability and validity of the evaluation to sign consent measure. The Gerontologist, 47(1), 69–77.
10.1093/geront/47.1.69 PMID:17327542 > ( Crossref MedlineGoogle Scholar - 2018). Testing the evidence integration triangle for implementation of interventions to manage behavioral and psychological symptoms associated with dementia: Protocol for a pragmatic trial. Research in Nursing & Health, 41(3), 228–242.
10.1002/nur.21866 > ( Crossref MedlineGoogle Scholar - 2012). Cognitive and behavioural predictors of survival in Alzheimer disease: Results from a sample of treated patients in a tertiary-referral memory clinic. International Journal of Geriatric Psychiatry, 27, 844–853.
10.1002/gps.2795 PMID:21956773 > ( Crossref MedlineGoogle Scholar - 2011). Persistence of neuropsychiatric symptoms over six months in mild cognitive impairment in community-dwelling Korean elderly. International Psychogeriatrics, 23, 214–220.
10.1017/S1041610210001766 PMID:20863423 > ( Crossref MedlineGoogle Scholar - 2020). Person-centered care plans for nursing home residents with behavioral and psychological symptoms of dementia. Journal of Gerontological Nursing, 46(11), 17–27.
10.3928/00989134-20201012-03 PMID:33095889 > ( LinkGoogle Scholar - 2021). Person-centered gerontological nursing: An overview across care settings. Journal of Gerontological Nursing, 47(2), 7–12.
10.3928/00989134-20210107-02 > ( LinkGoogle Scholar - 2004). Introduction to Rasch measurement. JAM Press. > (Google Scholar
- 2005). On the overlap between apathy and depression in dementia. Journal of Neurology, Neurosurgery, and Psychiatry, 76(8), 1070–1074.
10.1136/jnnp.2004.052795 PMID:16024880 > ( Crossref MedlineGoogle Scholar - 2009). Neuropsychiatric symptoms predict change in quality of life of Alzheimer disease patients: A two-year follow-up study. Psychiatry and Clinical Neurosciences, 63, 374–384.
10.1111/j.1440-1819.2009.01955.x PMID:19566770 > ( Crossref MedlineGoogle Scholar - 2007). The Rasch measurement model in rheumatology: What is it and why use it? When should it be applied, and what should one look for in a Rasch paper? Arthritis and Rheumatism, 57, 1358–1362.
10.1002/art.23108 PMID:18050173 > ( Crossref MedlineGoogle Scholar - 2017). Best practice in the management of behavioural and psychological symptoms of dementia. Therapeutic Advances in Neurological Disorders, 10(8), 297–309.
10.1177/1756285617712979 PMID:28781611 > ( Crossref MedlineGoogle Scholar