Development of a Measure to Evaluate the Quality of Dementia Care Provided by Caregivers at Unit Care Geriatric Health Service Facilities

摘要

This study was conducted to develop a measure for evaluating the quality of dementia care provided by caregivers in unit care geriatric health service facilities in Japan. A secondary factor model consisting of the following factors was used in the study. Primary factors were: "Creating a safe environment with a home-like atmosphere," "Helping residents maintain their ordinary life," "Helping maintain and improve the lifestyles of individual residents," "Providing support in a way that respects each residentu27s unique personality," "Encouraging social interaction with others" and "Maintaining family relationships," and one secondary factor, "Quality of dementia care." The construct validity of the above measure was assessed in terms of the relationship between the factor model and an external criterion using structural equation modeling (SEM) based on data from 984 caregivers. Job satisfaction was used as the external criterion. As a result, the fit of the factor model to the data and the relationship between dementia care quality and job satisfaction were statistically supported. The Cronbach alpha coefficient for the measure was within statistically permissible limits. Based on the above results, we concluded that the measure to evaluate dementia care quality that was developed in the study is effective for evaluating the quality of dementia care provided by caregivers in unit care geriatric health service facilities.