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A psychometric evaluation of the Chinese version of the Nursing Home Adjustment Scale

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Abstract

Purpose

For older adults, psychological adjustment has a great impact on successfully making the transition to living in a nursing home. However, a tailored Nursing Home Adjustment Scale (NHAS) for Chinese nursing home residents is not available. The aim of this study was to develop and psychometrically test properties of the NHAS for Chinese residents.

Methods

A total of 425 residents were recruited from 10 nursing homes from September 2017 to February 2018 in Fujian, China, to examine the psychometrics of the NHAS Chinese version. exploratory structural equation modeling (ESEM) was applied to evaluate the NHAS scale. Internal consistency, test–retest reliability, and construct validity were examined.

Results

The final structure for the NHAS was categorized into five domains, including emotional distress, relationship development, acceptance of new residence, depressed mood, and feeling at home. The goodness-of-fit indices of ESEM supported the five-factor model with satisfactory internal consistency (Cronbach’s α = 0.87) and test–retest reliability of 0.72 for the entire scale.

Conclusions

The Chinese version of the NHAS is a reliable and valid instrument to assess the level of nursing home adjustment among nursing home residents in China.

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Acknowledgements

We are grateful to the residents who provided their time and participated in this study. Many thanks to Lee, G.E. and Yoon, J.Y., for their help and support.

Funding

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. School of Nursing, Fujian Medical University, NO 1 Xuefu North Road, University Town, Shangjie Zhen, Minhou County, Fuzhou, Fujian, China

    Huimin Xiao, Binbin Yong, Xiaopeng Liu & Yan Lin

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  1. Huimin Xiao
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  2. Binbin Yong
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  3. Xiaopeng Liu
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  4. Yan Lin
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Contributions

HX: conception and design of the study, critical revision of the manuscript, and supervision. BY: acquisition of data, analysis and interpretation of data and drafting the manuscript. XL: acquisition of data, analysis and interpretation of data. YL: acquisition of data, analysis and interpretation of data.

Corresponding author

Correspondence to Huimin Xiao.

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Conflict of interest

We have no financial or non-financial conflicts of interest to report.

Ethics approval

This survey was approved by the human ethics committee of Fujian Medical University.

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Informed consent was obtained from all individual participants included in the study.

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Xiao, H., Yong, B., Liu, X. et al. A psychometric evaluation of the Chinese version of the Nursing Home Adjustment Scale. Qual Life Res 28, 2535–2542 (2019). https://doi.org/10.1007/s11136-019-02192-y

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