TY - JOUR
T1 - Provider assessment of interactions with dementia caregivers
T2 - Evaluation and application of the therapeutic engagement index
AU - Chee, Yeon Kyung
AU - Dennis, Marie P.
AU - Gitlin, Laura N.
N1 - Funding Information:
This research was supported by the National Institute on Aging Grants R01 AG10947 and U01 AG13265. The authors would like to thank Dr. Mary Corcoran for her assistance with the initial development of items for the Therapeutic Engagement Index. Also, thanks to Drs. Laraine Winter and Walter Hauck for critically reading previous drafts.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2005
Y1 - 2005
N2 - This study presents the psychometric properties of the Therapeutic Engagement Index (TEI), a provider-rated measure of family caregiver engagement for home-based interventions. The 14-item TEI was developed with 10 occupational therapists and 99 caregivers in a randomized controlled trial. Using a separate sample of 118 caregivers rated by six occupational therapists, test-retest reliability, intraclass correlations, and construct validity were evaluated over five treatment sessions. Factor analyses revealed three dimensions of therapeutic engagement (Openness, Connectedness, and Involvement); also temporal stability was demonstrated. Dimensions of TEI were associated with caregiver readiness to use intervention strategies, anxiety, depression, and patient problem behaviors, but not with patient functional status. TEI scores were not associated with caregiver demographic characteristics. Also, TEI scores for non-completers of the intervention significantly decreased by the third treatment session, while scores for completers improved with time. Findings establish the psychometric soundness of TEI and suggest its utility as an indicator of engagement of families in a caregiver intervention.
AB - This study presents the psychometric properties of the Therapeutic Engagement Index (TEI), a provider-rated measure of family caregiver engagement for home-based interventions. The 14-item TEI was developed with 10 occupational therapists and 99 caregivers in a randomized controlled trial. Using a separate sample of 118 caregivers rated by six occupational therapists, test-retest reliability, intraclass correlations, and construct validity were evaluated over five treatment sessions. Factor analyses revealed three dimensions of therapeutic engagement (Openness, Connectedness, and Involvement); also temporal stability was demonstrated. Dimensions of TEI were associated with caregiver readiness to use intervention strategies, anxiety, depression, and patient problem behaviors, but not with patient functional status. TEI scores were not associated with caregiver demographic characteristics. Also, TEI scores for non-completers of the intervention significantly decreased by the third treatment session, while scores for completers improved with time. Findings establish the psychometric soundness of TEI and suggest its utility as an indicator of engagement of families in a caregiver intervention.
KW - Caregiver intervention
KW - Dementia
KW - Patient-centered care
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U2 - 10.1300/J018v28n04_04
DO - 10.1300/J018v28n04_04
M3 - Article
AN - SCOPUS:28844504479
SN - 0731-7115
VL - 28
SP - 43
EP - 59
JO - Clinical Gerontologist
JF - Clinical Gerontologist
IS - 4
ER -