한국어판 노인 장기요양기관 거주자용 인간중심적 환경 측정도구의 신뢰도, 타당도 평가

Abstract

Purpose: This study was conducted to assess the psychometric properties of the Korean Person-centered Climate Questionnaire-Resident version (KPCQ-R) in long-term care settings. Methods: The KPCQ-R was developed following the World Health Organization guidelines for the process of translation and adaptation of instruments. Internal consistency using Cronbachs ⍺, known-group comparison, exploratory factor analysis, and Multiple Indicator Multiple Cause (MIMIC) model was examined. A total of 201 older adults from 11 long-term care institutions were included in this study. Results: The KPCQ-R demonstrated satisfactory internal consistency reliability (Cronbachs ⍺=.90). The KPCQ-R consists of 17 items with two factors ("everydayness" and "safety"). Known group comparison showed satisfactory validity as evidenced by a significantly higher mean KPCQ-R from individuals with minimal depressive symptoms compared to individuals with significant depressive symptoms. Results of the MIMIC model indicated that type of setting was not significantly related to the two latent factors, which suggests that the KPCQ-R is applicable for use in either nursing homes or long-term care hospitals in Korea. Conclusion: The findings indicate that the KPCQ-R is a valid and reliable tool to measure the extent to which the climate of the residential environment is person-centered from the perspective of long-term care residents in Korea.