Abstract
PURPOSE: To assess the reliability and validity of a subset of the Minimum Data Set (MDS) 3.0 Section GG data elements (i.e., standardized self-care, mobility) among 147 long-stay nursing home residents in seven nursing homes in five states. METHOD: Trained clinicians assessed residents’ functional abilities using select Section GG items and Section G activities of daily living items. We examined the reliability and construct validity of the data using Cronbach’s alpha, correlations between Section G and Section GG items, confirmatory factor analysis (CFA), and Rasch measurement analysis. RESULTS: We observed acceptable internal consistency values for all (0.98), self-care (0.93), and mobility (0.98) standardized items. Correlations between conceptually related Section G and Section GG items ranged from –0.53 to –0.84. CFA findings found acceptable values for all fit indices. Rasch analysis showed most items had acceptable fit statistics, except for the easiest and most difficult activities. CONCLUSION: These findings establish the feasibility of data collection, internal consistency reli-ability, and construct validity of the selected Section GG items among long-stay nursing home resi-dents. Use of the same standardized data elements in post-acute and long-term care populations can support improved coding of function and enhance our understanding of resident functioning.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 57-64 |
| Number of pages | 8 |
| Journal | Research in gerontological nursing |
| Volume | 17 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 2024 |
Funding
From Embold Health, Nashville, Tennessee (M.M.); RTI International, Research Triangle Park, North Carolina (M.M., A.D., T.K., A.S., Q.L., J.B.); Takeda, Cambridge, Massachusetts (Q.L.); U.S. Department of Veterans Affairs, Bethesda, Maryland (T.M.); and Centers for Medicare & Medicaid Services, Washington, DC (T.M.). Disclosure: The authors have disclosed no potential conflicts of interest, financial or otherwise. Funding: This work was funded by the Centers for Medicare & Medicaid Services under contract no. HHSM-500-2013-13015I. Address correspondence to Molly Marino, PhD, MPH, Embold Health, 1801 West End Avenue #800, Nashville, TN 37203; email: molly.marino@ emboldhealth.com. Received: July 19, 2023. Accepted: December 19, 2023. Posted online: January 29, 2024. doi:10.3928/19404921-20240112-01
ASJC Scopus subject areas
- General Nursing
- Gerontology
- Health Policy
- Geriatrics and Gerontology