Psychometric Properties of the Preparedness Assessment for the Transition Home After Stroke Instrument

Rehabil Nurs. 2021 Mar-Apr;46(2):113-121. doi: 10.1097/RNJ.0000000000000310.

Abstract

Purpose: The aim of this study was to evaluate psychometric properties of the Preparedness Assessment for the Transition Home After Stroke (PATH-s), a novel instrument to assess stroke caregiver commitment and capacity. The PATH-s instrument can be obtained at www.rehabnurse.org/pathtool.

Design: The design of this study is cross-sectional.

Methods: The PATH-s, the Preparedness for Caregiving Scale (PCS), the Patient Health Questionnaire, the Perceived Stress Scale, and the Global Health Scale were self-reported from a convenience sample of caregiver-stroke survivor dyads (n = 183) during inpatient rehabilitation.

Results: Exploratory factor analysis revealed eight factors underlying the PATH-s structure. The PATH-s Cronbach's alpha of .90 demonstrated criterion-related validity with the PCS (r = .79, p < .01). Both the PATH-s and the PCS were negatively correlated with the Patient Health Questionnaire (r = -.26 and -.27, respectively; p < .01) and the Perceived Stress Scale (r = -.12 and -.15, respectively; p > .05) and positively correlated with the Global Health Scale (r = -.46 and .46, respectively; p < .01), indicating convergent validity.

Conclusions: The PATH-s demonstrates excellent internal consistency and satisfactory criterion-related and convergent validity.

Clinical relevance: The PATH-s may be used to assess the risk/needs of caregivers over time.

MeSH terms

  • Adult
  • Aged
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Discharge / standards*
  • Psychometrics / instrumentation
  • Psychometrics / methods
  • Reproducibility of Results
  • Stroke Rehabilitation / methods
  • Stroke Rehabilitation / psychology*
  • Surveys and Questionnaires