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 D.L, Achterberg W.P, Steverink N., Pot A.M, Frijters D.H, Ribbe M.W
JournalAging & Mental Health
Date PublishedJan
ISBN Number1360-7863 (Print)<br/>1360-7863
Accession Number18297486
KeywordsAffect, Aged, Aged, 80 and over, Aggression, Analysis of Variance, caregivers, Female, Geriatric Assessment/*classification, Humans, Interview, Psychological, Long-Term Care/*psychology, Male, Netherlands/epidemiology, Nursing Homes, Predictive Value of Tests, Psychiatric Status Rating Scales/*standards, Reproducibility of Results

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a 16-item Behavior Profile containing four internally consistent and valid subscales measuring conflict behavior, withdrawn behavior, agitation and attention seeking behavior (alpha range: 0.69-0.80). On a second dataset of 227 nursing home residents, internal consistency, inter-rater reliability and validity against the Behavior Rating Scale for Psychogeriatric Inpatients (GIP) were established. Internal consistency of the subscales ranged between 0.54 and 0.78. The overall inter-rater reliability of the items was 0.53 (kappa); of the scale it was 0.75 (ICC). The MDS Challenging Behavior Profile could potentially be an important contribution to existing clinical MDS-scales but additional studies on reliability, validity and usefulness are needed.

Short TitleAging & mental healthAging & mental health
Alternate JournalAging Ment Health