Show simple item record

dc.contributor.authorDiBiasio, Eleanor L.
dc.contributor.authorTeno, Joan M.
dc.contributor.authorClark, Melissa A.
dc.contributor.authorSpence, Carol
dc.contributor.authorCasarett, David
dc.date2022-08-11T08:10:35.000
dc.date.accessioned2022-08-23T17:13:28Z
dc.date.available2022-08-23T17:13:28Z
dc.date.issued2016-06-01
dc.date.submitted2018-06-27
dc.identifier.citation<p>J Palliat Med. 2016 Jun;19(6):639-45. doi: 10.1089/jpm.2015.0185. Epub 2016 May 25. <a href="https://doi.org/10.1089/jpm.2015.0185">Link to article on publisher's site</a></p>
dc.identifier.issn1557-7740 (Linking)
dc.identifier.doi10.1089/jpm.2015.0185
dc.identifier.pmid27224450
dc.identifier.urihttp://hdl.handle.net/20.500.14038/46735
dc.description.abstractBACKGROUND: Key to high-quality care of dying hospice patients at home is whether the hospice provides adequate training so the caregiver can safely care for the patient. OBJECTIVE: The study objective was to develop and validate a survey of hospice training for caregivers to ensure safe, high-quality care in the home setting. DESIGN: Our survey design was cross-sectional. Bereaved respondents of individuals who died at home under the care of hospice were surveyed three to six months postdeath. MEASUREMENTS: Items were developed based on advice of an expert panel, focus groups of hospice caregivers, and literature review, with 12 items developed for testing and examining 8 key processes of care. We examined the validity and reliability of the assessment using factor analysis, correlational analyses, and multivariable modeling. RESULTS: Our sample consisted of 262 primary caregivers (mean age 62.4, 76.7% female, 58.8% non-Hispanic white). Six questions focused on providing the caregiver with information, while another six focused on the training that hospice provided. Based on model fit and Cronbach's alpha, we dropped the information items. The items that examined hospice training demonstrated a one-factor solution and a Cronbach's of 0.90. We examined correlations of the multi-item composite with overall rating of quality of care (0.53), overall distress (0.31), and whether the respondent would recommend this hospice to others (0.49). There were no significant sociodemographic correlates of concerns with training. CONCLUSIONS: Sufficient preliminary reliability and validity warrants further testing of this composite to examine the adequacy of training provided to family members to care safely for the patient.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=27224450&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904156/
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMedical Education
dc.subjectPalliative Care
dc.titleDevelopment of an Assessment to Examine Training of the Hospice Primary Caregiver
dc.typeJournal Article
dc.source.journaltitleJournal of palliative medicine
dc.source.volume19
dc.source.issue6
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/qhs_pp/1194
dc.identifier.contextkey12399212
html.description.abstract<p>BACKGROUND: Key to high-quality care of dying hospice patients at home is whether the hospice provides adequate training so the caregiver can safely care for the patient.</p> <p>OBJECTIVE: The study objective was to develop and validate a survey of hospice training for caregivers to ensure safe, high-quality care in the home setting.</p> <p>DESIGN: Our survey design was cross-sectional. Bereaved respondents of individuals who died at home under the care of hospice were surveyed three to six months postdeath.</p> <p>MEASUREMENTS: Items were developed based on advice of an expert panel, focus groups of hospice caregivers, and literature review, with 12 items developed for testing and examining 8 key processes of care. We examined the validity and reliability of the assessment using factor analysis, correlational analyses, and multivariable modeling.</p> <p>RESULTS: Our sample consisted of 262 primary caregivers (mean age 62.4, 76.7% female, 58.8% non-Hispanic white). Six questions focused on providing the caregiver with information, while another six focused on the training that hospice provided. Based on model fit and Cronbach's alpha, we dropped the information items. The items that examined hospice training demonstrated a one-factor solution and a Cronbach's of 0.90. We examined correlations of the multi-item composite with overall rating of quality of care (0.53), overall distress (0.31), and whether the respondent would recommend this hospice to others (0.49). There were no significant sociodemographic correlates of concerns with training.</p> <p>CONCLUSIONS: Sufficient preliminary reliability and validity warrants further testing of this composite to examine the adequacy of training provided to family members to care safely for the patient.</p>
dc.identifier.submissionpathqhs_pp/1194
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentCommonwealth Medicine, Center for Health Policy and Research
dc.source.pages639-45


This item appears in the following Collection(s)

Show simple item record