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Nursing home adjustment scale: a psychometric study of an English version

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Abstract

Purpose

The purpose of this study was to translate the nursing home adjustment scale (NHAS) from Korean into English and assess its psychometric properties on a sample of nursing home residents in the USA.

Methods

A total of 193 older adults in six nursing homes in the Midwest were included in this study. Reliability of the NHAS in English was tested using Cronbach’s alpha values for internal consistency. Exploratory and confirmatory factor analyses were used to examine the factor structure, and correlation analysis was utilized for convergent validity.

Results

The NHAS English showed satisfactory internal consistency (Cronbach’s alpha = 0.77). The NHAS English demonstrated excellent convergent validity with life satisfaction (r = 0.431), and the known group comparison showed a significant difference in means of the NHAS between the short length of stay group (≤6 months) and long length of stay group (>6 months). The NHAS in English included five factors: emotional distress, relationship development, acceptance of new residence, difficulty fitting in, and depressed mood, which were loaded on the main concept “nursing home adjustment.”

Conclusions

The findings indicate that the English version of the NHAS is a valid and reliable tool to measure the level of nursing home adjustment for older adults who speak English.

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Acknowledgments

The authors sincerely thank to a nurse practitioner, Bruce Grau, and 193 older adults who participated in this study. This work was supported by a Research Fund from the Dong-A University (PI: LEE). The funding sources had no role in the study design, data collection and analysis, interpretation of the data, writing the manuscript or the decision to submit the manuscript for publication.

Conflict of interest

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Department of Nursing, Dong-A university, 32 Daeshin Park Street, Seogu, Busan, 602-714, South Korea

    Ga Eon Lee

  2. School of Nursing, University of Wisconsin-Madison, 3117 Signe Skott Cooper 701 Highland Avenue, Madison, WI, 534792-2455, USA

    Ju Young Yoon

  3. School of Nursing, University of Wisconsin-Madison, 5133 Signe Skott Cooper 701 Highland Avenue, Madison, WI, 534792-2455, USA

    Barbara J. Bowers

Authors
  1. Ga Eon Lee
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  2. Ju Young Yoon
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  3. Barbara J. Bowers
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Correspondence to Ju Young Yoon.

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Lee, G.E., Yoon, J.Y. & Bowers, B.J. Nursing home adjustment scale: a psychometric study of an English version. Qual Life Res 24, 993–998 (2015). https://doi.org/10.1007/s11136-014-0836-z

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  • DOI: https://doi.org/10.1007/s11136-014-0836-z

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