Development of the psychometric property of a Minimum Data-Set-Based Depression Rating Scale for use in long-term care facilities in Taiwan

Objectives: Our aim is to develop the psychometric property of the Minimum Data-Set-Based Depression Rating Scale (MDS-DRS) to ensure its use to assess service needs and guide care plans for institutionalized residents. Methods: 378 residents were recruited from the Haoran Senior Citizen Home in nor...

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Bibliographic Details
Published in:Aging & mental health 2015-02, Vol.19 (2), p.129-135
Main Authors: Hsiao, C.Y., Lan, C.F., Chang, P.L., Li, I.C.
Format: Article
Language:English
Subjects:
Adult Care Services
Aged
Aged, 80 and over
Citizens
Depression
Depression (Psychology)
Depression - diagnosis
depressive symptoms assessment
Female
Geriatric Assessment - methods
Geriatric Depression Scale
Health care
Health services
Homes for the Aged
Humans
Long Term Care
Male
Minimum Data-Set Depression Rating Scale
Nurses
Nursing Homes
Psychiatric Status Rating Scales - standards
Psychological Distress
Psychometrics
Psychometrics - instrumentation
Sensitivity and Specificity
Taiwan
Tests
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Summary:Objectives: Our aim is to develop the psychometric property of the Minimum Data-Set-Based Depression Rating Scale (MDS-DRS) to ensure its use to assess service needs and guide care plans for institutionalized residents. Methods: 378 residents were recruited from the Haoran Senior Citizen Home in northern Taiwan. The MDS-DRS and GDS-SF were used to identify observable features of depression symptoms in the elderly residents. Results: A total of 378 residents participated in this study. The receiver operating characteristic (ROC) curve indicated that the MDS-DRS has a 43.3% sensitivity and a 90.6% specificity when screening for depression symptoms. The total variance, explained by the two factors 'sadness' and 'distress,' was 58.1% based on the factor analysis. Conclusions: Reliable assessment tools for nurses are important because they allow the early detection of depression symptoms. The MDS-DRS items perform as well as the GDS-SF items in detecting depression symptoms. Furthermore, the MDS-DRS has the advantage of providing information to staff about care process implementation, which can facilitate the identification of areas that need improvement. Further research is needed to validate the use of the MDS-DRS in long-term care facilities.
ISSN:1360-7863
1364-6915
DOI:10.1080/13607863.2014.920294