Development and psychometric evaluation of a long-term care needs assessment questionnaire for community-dwelling older adults
10.3760/cma.j.cn115682-20241224-07058
- VernacularTitle:社区居家老年人长期照护需求评估问卷的编制及评价
- Author:
Hengyu HU
1
;
Panpan CUI
;
Lu CHANG
;
Junmei ZHANG
;
Hui FENG
Author Information
1. 河南省人民医院老年医学科，郑州 450000
- Publication Type:Journal Article
- Keywords:
Aged;
Long-term care;
Needs assessment;
Community health nursing;
Questionnaire;
Reliability;
Validity
- From:
Chinese Journal of Modern Nursing
2025;31(25):3409-3416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop and evaluate the reliability and validity of a questionnaire for assessing long-term care needs among community-dwelling older adults.Methods:Guided by the International Classification of Functioning, Disability and Health (ICF), an initial item pool for the questionnaire was constructed based on literature review, descriptive qualitative research, and expert consultations. The draft questionnaire was formulated by transforming the established indicator system for long-term care needs into survey items. Using stratified sampling, a total of 622 older adults from community settings in Changsha were surveyed between June and August 2021. Item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability testing were conducted.Results:The final questionnaire consists of three subscales (mental function, physical function, and activity and participation), comprising a total of 47 items. The item-level content validity index ( I- CVI) ranged from 0.830 to 1.000, and the scale-level content validity index ( S- CVI) was 0.915. EFA results showed that the extracted factors aligned well with the predefined dimensions after adjustment, with factor loadings exceeding 0.600 and cumulative variance contributions exceeding 70.000% for all subscales. CFA results indicated good model fit across all subscales and the overall questionnaire, confirming stable structural validity. The Cronbach's α coefficients ranged from 0.877 to 0.970, and test-retest reliability coefficients ranged from 0.901 to 0.957. Conclusions:The long-term care needs assessment questionnaire for community-dwelling older adults demonstrates strong reliability and validity, and can serve as a reliable tool for evaluating long-term care needs in this population.
