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Development of an instrument measuring the quality of residential care facilities for older people
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0001-7044-8896
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Göteborgs Universitet.
Dalarna University, School of Education, Health and Social Studies, Social Work.ORCID iD: 0000-0002-8795-7555
2016 (English)In: The 23rd Nordic Congress of Gerontology, 19-22 June 2016, in Tampere, Finland, 2016Conference paper, Poster (Refereed)
Abstract [en]

Aims. To validate the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). The instrument’s items measure environmental elements important for supporting the needs of older people, and conceptualized within eight domains.

Methods. Item relevance was assessed by a group of experts and measured using content validity index (CVI). Test-retest and inter-rater reliability tests were performed.  The domain structure was assessed by the inter-rater agreement of a second group of experts, and measured using Fleiss kappa.

Results. All items attained a CVI above 0.78, the suggested criteria for excellent content validity. Test-retest reliability showed high stability (96% and 95% for two independent raters respectively), and inter-rater reliability demonstrated high levels of agreement (95% and 94% on two separate rating occasions). Kappa values were very good for test-retest (κ = 0.903 and 0.869) and inter-rater reliability (κ = 0.851 and 0.832). Domain structure was good,  Fleiss’ kappa was 0.63 (range 0.45 to 0.75).   

Conclusion. The S-SCEAM of 210 items and eight domains showed good content validity and construct validity. The instrument is suggested for use in measuring of the quality of the physical environment in residential care facilities for older persons.

Place, publisher, year, edition, pages
Keyword [en]
Gerontology, older persons, design, instrument development
National Category
Medical and Health Sciences
Research subject
Health and Welfare
URN: urn:nbn:se:du-22704OAI: diva2:952924
The 23rd Nordic Congress of Gerontology, 19-22 June 2016, in Tampere, Finland
Available from: 2016-08-16 Created: 2016-08-16 Last updated: 2016-08-29Bibliographically approved

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