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Qual Life Res. 2012 Jun;21(5):801-12. doi: 10.1007/s11136-011-9997-1. Epub 2011 Sep 6.

Capabilities and quality of life in Dutch psycho-geriatric nursing homes: an exploratory study using a proxy version of the ICECAP-O.

Author information

1
Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands. makai@bmg.eur.nl

Abstract

PURPOSE:

To validate the ICECAP-O capability measure in psycho-geriatric elderly in nursing homes, we compared the capability scores of restrained and unrestrained clients. Both nursing staff and family were used as proxies for assessing clients' capabilities.

METHOD:

For 122 psycho-geriatric elderly, a total of 96 nursing professionals and 68 family members completed a proxy questionnaire. We investigated the convergent and discriminant validity of the ICECAP-O and measures of care dependency, health-related quality of life, and overall quality of life. We also directly compared ICECAP-O scores of the 56 clients for whom both nursing staff and family members had completed the questionnaire.

RESULTS:

Convergent validity between ICECAP-O and care dependency, health-related, and overall quality of life measures could be established, as well as discriminant validity for the restrained and unrestrained groups. Nursing and family proxy ICECAP-O tariffs were not significantly correlated.

DISCUSSION:

ICECAP-O measures a more general concept than health-related quality of life and can differentiate between restrained and non-restrained psycho-geriatric clients. Since nurses seem to be able to assess the current quality of life of clients using the ICECAP-O more precisely than the family proxies, for now the use of nursing proxies is recommended in a nursing home setting.

PMID:
21894489
PMCID:
PMC3348451
DOI:
10.1007/s11136-011-9997-1
[Indexed for MEDLINE]
Free PMC Article

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