Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users.

Nguyen, Lien and Linnosmaa, Ismo and Rand, Stacey and Malley, Juliette and Razik, Kamilla and Trukeschitz, Birgit and Forder, Julien (2021) Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users. Health and Social Care in the Community, 29 (3). pp. 712-728. ISSN 1365-2524

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The Adult Social Care Outcomes Toolkit four response‐level interview schedule (ASCOT INT4) for service users was translated into Finnish. The aim of this paper was to investigate the construct validity and structural characteristics of the Finnish ASCOT. We used data from a face‐to‐face interview survey of older people receiving publicly funded home care services, which was conducted in 2016–2017 (n = 493), excluding missing values and proxy respondents (n = 334). Chi‐square tests, adjusted residuals and analyses of variance were used to examine hypothesised associations between each attribute and a number of relevant variables regarding health and well‐being, disabilities, living arrangements, social contact and support, experience of service use, and the nature of the locality and environment. Structural characteristics were explored using exploratory factor analysis and Cronbach's alpha test. The EQ‐5D‐3L and ASCOT were moderately correlated (r = 0.429; p < 0.001). The ASCOT attributes were statistically positively related to the overall quality of life. For other tested variables, we found a high number of significant associations with the control over daily life, occupation, social participation, and personal cleanliness attributes, but fewer significant associations with the other attributes. Cronbach's alpha was 0.697 and a single factor was extracted. This assessment provides evidence to support the construct validity of the Finnish ASCOT. The results support the introduction of the Finnish ASCOT into Finland for use in practical applications. Future research on its reliability would be useful.

Item Type: Article
Additional Information: The EXCELC project was funded by the NORFACE Welfare State Futures programme under Grant Number 462‐14‐160. The Finnish contribution to the project was co‐funded by the Finnish Institute for Health and Welfare (THL), Finland and the Austrian contribution by the Austrian Science Fund (FWF, Project Number I 2252‐G16) and the Vienna Social Fund (FSW), Austria.
Keywords: ASCOT, assessment construct validity, Finland, quality of life, social care outcomes, Publication History
Divisions: Forschungsinstitute > Altersökonomie
Version of the Document: Published
Depositing User: Gertraud Novotny
Date Deposited: 09 Mar 2021 12:22
Last Modified: 28 Apr 2021 09:37
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