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Development and psychometric testing of a C hinese‐language instrument for assessing institutionalised older males' m otivations for l iving
Author(s) -
Wang YiWen,
Tsai YunFang,
Wong Thomas KS,
Ku YanChiou
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12089
Subject(s) - construct validity , intraclass correlation , psychology , content validity , scale (ratio) , clinical psychology , reliability (semiconductor) , psychometrics , test (biology) , activities of daily living , gerontology , medicine , psychiatry , paleontology , power (physics) , physics , quantum mechanics , biology
Aims and objectives To develop and psychometrically test a C hinese‐language instrument, the M otivations for L iving I nventory, for use with older adult institutionalised males. Background While tools exist for testing reasons for living among E nglish‐speaking individuals, none are available to assess C hinese‐speaking older adults' motivation for living. Design This study had three steps: cross‐sectional survey to collect data on instrument items, instrument development and psychometric testing. Methods Participants were 247 older male residents of five veterans' homes, including 22 who had attempted suicide in the previous three months and 225 nonsuicide attempters. The C hinese‐language instrument, M otivations for L iving I nventory, was developed based on individual interviews with older male residents of nursing homes and veterans' homes, focus groups with workers at nursing and veterans' homes, the literature and the authors' clinical experiences. The resulting I nventory was examined by content validity, construct validity, criterion‐related validity, internal consistency reliability and test–retest reliability. Results The i nventory had good content validity index (1·00). Factor analysis yielded a five‐factor solution, accounting for 82·02% of the variance. Veterans' home male residents who had not attempted suicide tended to have higher scores than residents who had attempted suicide in the previous three months across the global inventory and all its subscales, indicating good criterion validity. Inventory reliability ( C ronbach's α for the total scale was 0·86 and for subscales ranged from 0·80–0·94) and intraclass correlation coefficient (0·81) was satisfactory. Conclusions The C hinese‐language M otivations for L iving I nventory can be completed in five to seven minutes and is perceived as easy to complete. Moreover, the inventory yielded highly acceptable parameters of validity and reliability. Relevance to clinical practice The C hinese‐language M otivations for L iving I nventory can be used to assess reasons for living in C hinese‐speaking, institutionalised older male adults.