The MDS Challenging Behavior Profile for long-term care.

TitleThe MDS Challenging Behavior Profile for long-term care.
Publication TypeJournal Article
Year of Publication2008
AuthorsGerritsen DL, Achterberg WP, Steverink N, Pot AM, Frijters DHM, Ribbe MW
JournalAging & Mental Health

The objective was to construct a reliable and valid challenging behavior scale with items from the Minimum Data Set (MDS).Exploratory factor analyses of a sample of 656 nursing home residents yielded a 16-item Behavior Profile containing fourinternally consistent and valid subscales measuring conflict behavior, withdrawn behavior, agitation and attention seekingbehavior (alpha range: 0.69–0.80). On a second dataset of 227 nursing home residents, internal consistency, inter-raterreliability and validity against the Behavior Rating Scale for Psychogeriatric Inpatients (GIP) were established. Internalconsistency of the subscales ranged between 0.54 and 0.78. The overall inter-rater reliability of the items was 0.53 (kappa); ofthe scale it was 0.75 (ICC). TheMDSChallenging Behavior Profile could potentially be an important contribution to existingclinical MDS-scales but additional studies on reliability, validity and usefulness are needed.