Factor Analysis of the Brief Agitation Rating Scale in a Large Sample of Norwegian Nursing Home Patients

2010 ◽  
Vol 29 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Oskar H. Sommer ◽  
Øyvind Kirkevold ◽  
Milada Cvancarova ◽  
Knut Engedal
Keyword(s):  
Factor Analysis ◽  
Nursing Home ◽  
Rating Scale ◽  
Large Sample ◽  
Nursing Home Patients

The Herth Hope Index—A Psychometric Study Among Cognitively Intact Nursing Home Patients

2013 ◽  
Vol 21 (3) ◽  
pp. 378-400 ◽  
Author(s):  
Gørill Haugan ◽  
Britt Karin Støen Utvær ◽  
Unni Karin Moksnes
Keyword(s):  
Factor Analysis ◽  
Nursing Home ◽  
Home Care ◽  
Well Being ◽  
Nursing Home Care ◽  
Cross Sectional ◽  
Home Setting ◽  
Nursing Home Patients ◽  
Herth Hope Index ◽  
Cognitively Intact

Background and Purpose: Hope is seen as the act by which the temptation of despair is actively overcome and has thus been interpreted as an inner strength and an available resource for living in the present. An understanding of hope and its meaning in the lives of institutionalized older adults may aid in developing interventions to enhance hope and well-being in the nursing home setting. This study aimed to investigate the psychometric properties of the Norwegian version of the Herth Hope Index among cognitively intact nursing home patients. Methods: Cross-sectional data was obtained in 2008 and 2009 from 202 of 250 patients who met the inclusion criteria in 44 different nursing homes. Results: Exploratory factor analysis revealed 3 internal consistent dimensions of hope, explaining 51.2% of the variance. The 1-factor, 2-factor, and the originally 3-factor solutions of the Herth Hope Index were tested by means of confirmatory factor analysis. A 2-factor construct comprising 11 items came out with the best model fit. Conclusions: The Herth Hope Index was found to be a reliable and valid instrument for assessing hope in nursing home patients. The 2-factor structure was psychometrically superior the original 3-factor construct of hope in this particular sample. The Herth Hope Index might be used to assess hope and changes in the hope process during long-term nursing home care. An enhanced understanding of hope in this population might contribute to increased quality of nursing home care.

The course of neuropsychiatric symptoms in nursing-home patients with dementia over a 53-month follow-up period

2013 ◽  
Vol 26 (1) ◽  
pp. 81-91 ◽  
Author(s):  
Geir Selbæk ◽  
Knut Engedal ◽  
Jūratė Šaltytė Benth ◽  
Sverre Bergh
Keyword(s):  
Nursing Home ◽  
Rating Scale ◽  
Neuropsychiatric Symptoms ◽  
Clinical Dementia Rating ◽  
Severe Dementia ◽  
Persistent Symptoms ◽  
Nursing Home Patients ◽  
Affective Symptoms ◽  
Clinically Significant

ABSTRACTBackground:Neuropsychiatric symptoms (NPS) are prevalent in nursing-home (NH) patients with dementia, but little is known about the long-term course of these symptoms.Methods:In this study, 931 NH patients with dementia took part in a prospective cohort study with four assessments over a 53-month follow-up period. NPS and level of dementia were assessed with the Neuropsychiatric Inventory scale and the Clinical Dementia Rating scale, respectively.Results:Mild, moderate, and severe dementia was present in 25%, 33%, and 42%, respectively. There was an increase in the severity of the dementia from the first to the fourth assessment. Agitation, irritability, disinhibition, and apathy were the most prevalent and persistent symptoms during the study period. The affective subsyndrome (depression and anxiety) became less severe, whereas the agitation subsyndrome (agitation/aggression, disinhibition, and irritability) and apathy increased in severity during the follow-up period. More severe dementia was associated with more severe agitation, psychosis, and apathy, but not more severe affective symptoms. Mild dementia was associated with an increase in the severity of psychosis, whereas moderate or severe dementia was associated with decreasing severity of psychosis over the follow-up period.Conclusion:Nearly all the patients experienced clinically significant NPS, but individual symptoms fluctuated. Affective symptoms became less severe, while agitation and apathy increased in severity. An increase in dementia severity was associated with an increase in the severity of agitation, psychosis, and apathy, but not affective symptoms. The results may have implications when planning evaluation, treatment, and the prevention of NPS in NH patients.

Stability of the factor structure of the Neuropsychiatric Inventory in a 31-month follow-up study of a large sample of nursing-home patients with dementia

2011 ◽  
Vol 24 (1) ◽  
pp. 62-73 ◽  
Author(s):  
Geir Selbæk ◽  
Knut Engedal
Keyword(s):  
Nursing Home ◽  
Factor Structure ◽  
Neuropsychiatric Symptoms ◽  
Neuropsychiatric Inventory ◽  
Large Sample ◽  
Nursing Home Patients ◽  
Affective Symptoms ◽  
The Stability ◽  
Over Time

ABSTRACTBackground: Neuropsychiatric symptoms (NPS) are highly prevalent among nursing home patients with dementia. Several studies have investigated subsyndromes of NPS but the stability of these subsyndromes over time has rarely been examined. We have examined the stability over time of the factor structure of the Neuropsychiatric Inventory-Nursing Home version (NPI-NH) in a large sample of nursing-home patients with dementia.Methods: Nursing-home patients with dementia were assessed with the NPI-NH at baseline (n = 895), and at 12-month (n = 592) and 31-month (n = 278) follow-up assessments, giving three partly overlapping samples. Exploratory factor analysis was done to investigate neuropsychiatric subsyndromes of the NPI-NH at each assessment in these samples.Results: Three- or four-factor solutions were found, termed agitation, psychosis, apathy, and affective symptoms. Depression and anxiety (affective), delusion and hallucination (psychosis), and agitation and irritability (agitation) were the symptoms that most often co-occurred in the same factor. Apathy did not load together with affective symptoms at any of the assessments.Conclusions: Subsyndromes of the NPI-NH are relatively stable over 31-month follow-up assessments in nursing-home patients with dementia, indicating that these subsyndromes may be useful for following the natural course of symptoms as well as observing the effect of interventions. Our findings lend support to the distinction between apathy and affective symptoms, which may have important clinical implications.

Prevalence of neuropsychiatric symptoms in a large sample of Dutch nursing home patients with dementia

2007 ◽  
Vol 22 (7) ◽  
pp. 632-638 ◽  
Author(s):  
Sytse U. Zuidema ◽  
Els Derksen ◽  
Frans R.J. Verhey ◽  
Raymond T.C.M. Koopmans
Keyword(s):  
Nursing Home ◽  
Neuropsychiatric Symptoms ◽  
Large Sample ◽  
Nursing Home Patients

A behavioral rating scale as a predictor for survival of demented nursing home patients

1994 ◽  
Vol 18 (2) ◽  
pp. 101-113 ◽  
Author(s):  
Pieter T.M. van Dijk ◽  
Diederik W.J. Dippel ◽  
J.Dik F. Habbema
Keyword(s):  
Nursing Home ◽  
Rating Scale ◽  
Behavioral Rating ◽  
Nursing Home Patients

Gender differences in clusters of NPS in Dutch nursing homes – a factor analysis

2016 ◽  
Vol 28 (12) ◽  
pp. 1989-1999
Author(s):  
Janny Ho ◽  
Roland B. Wetzels ◽  
Hans Bor ◽  
Sytse U. Zuidema
Keyword(s):  
Gender Differences ◽  
Factor Analysis ◽  
Nursing Home ◽  
Neuropsychiatric Symptoms ◽  
Nursing Home Patients ◽  
Step Procedure ◽  
High Prevalence ◽  
Male Patients ◽  
Males And Females ◽  
Gender Specific

ABSTRACTBackground:Neuropsychiatric symptoms (NPS) have a high prevalence among patients with dementia, up to 80%. NPS can be grouped by type and stage of dementia. However, NPS have not previously been grouped by gender. Our objective was to investigate whether NPS cluster differently in men or women in the nursing home patients.Methods:Factor analysis to assess the clustering of items in the Cohen-Mansfield Agitation Inventory (CMAI) and Neuropsychiatric Inventory-Nursing home version (NPI-NH) into components, for both scales and for gender. Differences in symptom clustering between male and female patients were assessed using a three-step procedure: (1) identifying a gender specific distinctive item, (2) describe the correlation between the distinctive item with any other item in this cluster, (3) testing whether the correlation between a distinctive item and any other item in the cluster (which is present in both sexes) is different for males and females using a general linear model.Results:Our database consisted of 1,609 patients. There were five male and three female clusters for NPI-NH and eight male and seven female clusters for CMAI. There were three distinctive items in the NPI-NH and ten in the CMAI.Conclusions:There are other clusters of NPS in males and females. Our analysis revealed more significant relations in female than male patients. This might have an implication on the clinical course.

Factor Analysis of the Cohen-Mansfield Agitation Inventory in Three Large Samples of Nursing Home Patients With Dementia and Behavioral Disturbance

2005 ◽  
Vol 13 (11) ◽  
pp. 991-998 ◽  
Author(s):  
Jonathan Rabinowitz ◽  
Michael Davidson ◽  
Peter Paul De Deyn ◽  
Ira Katz ◽  
Henry Brodaty ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Nursing Home ◽  
Behavioral Disturbance ◽  
Large Samples ◽  
Nursing Home Patients
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