Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)

Antecedentes: La admisión de un adulto mayor en un hogar de ancianos implica importantes esfuerzos de adaptación por parte de la familia. Nuestro objetivo era elaborar un instrumento de evaluación para ello, dado que hasta la fecha no existía. Método: Participantes: 134 familiares de diferentes hoga...

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Autores:
Riquelme Marín, Antonio
Martín Carbonell, Marta de la Caridad
Ortigosa Quiles, Juan Manuel
Méndez Mateo, Inmaculada
Tipo de recurso:
Article of investigation
Fecha de publicación:
2020
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/32673
Acceso en línea:
https://doi.org/10.3390/ijerph17207597
https://hdl.handle.net/20.500.12494/32673
Palabra clave:
Ajuste familiar
Asilo de ancianos
Desarrollo de cuestionarios
Propiedades psicométricas
family adjustment
Nursing home
Questionnaire development
Psychometric properties
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openAccess
License
Atribución
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dc.title.spa.fl_str_mv Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
title Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
spellingShingle Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
Ajuste familiar
Asilo de ancianos
Desarrollo de cuestionarios
Propiedades psicométricas
family adjustment
Nursing home
Questionnaire development
Psychometric properties
title_short Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
title_full Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
title_fullStr Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
title_full_unstemmed Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
title_sort Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR)
dc.creator.fl_str_mv Riquelme Marín, Antonio
Martín Carbonell, Marta de la Caridad
Ortigosa Quiles, Juan Manuel
Méndez Mateo, Inmaculada
dc.contributor.author.none.fl_str_mv Riquelme Marín, Antonio
Martín Carbonell, Marta de la Caridad
Ortigosa Quiles, Juan Manuel
Méndez Mateo, Inmaculada
dc.subject.spa.fl_str_mv Ajuste familiar
Asilo de ancianos
Desarrollo de cuestionarios
Propiedades psicométricas
topic Ajuste familiar
Asilo de ancianos
Desarrollo de cuestionarios
Propiedades psicométricas
family adjustment
Nursing home
Questionnaire development
Psychometric properties
dc.subject.other.spa.fl_str_mv family adjustment
Nursing home
Questionnaire development
Psychometric properties
description Antecedentes: La admisión de un adulto mayor en un hogar de ancianos implica importantes esfuerzos de adaptación por parte de la familia. Nuestro objetivo era elaborar un instrumento de evaluación para ello, dado que hasta la fecha no existía. Método: Participantes: 134 familiares de diferentes hogares de ancianos de la Región de Murcia. Instrumentos: entrevista estructurada para información sociodemográfica, satisfacción con el hogar de ancianos, autoevaluación de bienestar y salud, Cuestionario de Depresión de Radloff (CES-D) y la primera versión de CAFIAR. Resultados: Se obtuvo un instrumento de 15 ítems con tres factores: Factor 1 (Malestar por el ingreso de un adulto mayor en un asilo de ancianos), Factor 2 (Alivio) y Factor 3 (Nostalgia y preocupación por el adulto mayor), además a un índice de ajuste general, con un alfa de Cronbach de 0,74. El índice de ajuste general y las subescalas que demuestran un ajuste deficiente se correlacionaron significativamente con la depresión y una peor autoevaluación de la salud, mientras que la subescala de alivio, que indica un mejor ajuste, se correlacionó significativamente con el bienestar y una autoevaluación de salud positiva. Conclusiones: El ajuste familiar en el ingreso de un adulto mayor a un cuestionario de residencia de ancianos (CAFIAR) tiene propiedades psicométricas adecuadas para evaluar la adaptación familiar en el ingreso de un adulto mayor en una institución.
publishDate 2020
dc.date.issued.none.fl_str_mv 2020-10-19
dc.date.accessioned.none.fl_str_mv 2021-01-20T16:47:58Z
dc.date.available.none.fl_str_mv 2021-01-20T16:47:58Z
dc.type.none.fl_str_mv Artículos Científicos
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dc.identifier.uri.spa.fl_str_mv https://doi.org/10.3390/ijerph17207597
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12494/32673
dc.identifier.bibliographicCitation.spa.fl_str_mv Riquelme-Marín, A.; Martín-Carbonell, M.; Ortigosa-Quiles, J.M.; Méndez, I. Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR). Int. J. Environ. Res. Public Health 2020, 17, 7597.
identifier_str_mv 1660-4601
Riquelme-Marín, A.; Martín-Carbonell, M.; Ortigosa-Quiles, J.M.; Méndez, I. Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR). Int. J. Environ. Res. Public Health 2020, 17, 7597.
url https://doi.org/10.3390/ijerph17207597
https://hdl.handle.net/20.500.12494/32673
dc.relation.isversionof.spa.fl_str_mv https://www.mdpi.com/1660-4601/17/20/7597
dc.relation.ispartofjournal.spa.fl_str_mv International Journal of Environmental Research and Public Health
dc.relation.references.spa.fl_str_mv Organización Mundial de la Salud. Envejecimiento y Salud. 2018. Available online: https://www.who.int/es/ news-room/fact-sheets/detail/envejecimiento-y-salud (accessed on 5 May 2020).
Dieckmann, F.; Rodekohr, B.; Mätze, C. Relocation decisions to nursing homes for older persons with intellectual disability. Z. Gerontol. Geriatr. 2019, 52, 241–248. [CrossRef] [PubMed]
Sullivan, G.J.; Williams, C. Older adult transitions into long-term care: A Meta-synthesis. J. Gerontol. Nurs. 2016, 43, 41–49. [CrossRef] [PubMed]
Sury, L.; Burns, K.; Brodaty, H. Moving in: Adjustment of people living with dementia going into a nursing home and their families. Int. Psychogeriatr. 2013, 25, 867–876. [CrossRef]
Gilmore-Bykovskyi, A.L.; Roberts, T.J.; King, B.J.; Kennelty, K.A.; Kind, A.J.H. Transitions from hospitals to skilled nursing facilities for persons with dementia: A challenging convergence of patient and system-level needs. Gerontologist 2016, 57, 867–879. [CrossRef] [PubMed]
Lao, S.S.W.; Low, L.P.L.; Wong, K.K.Y. Older residents’ perceptions of family involvement in residential care. Int. J. Qual. Stud. Health Well-Being 2019, 14. [CrossRef] [PubMed]
Fitzpatrick, J.M.; Tzouvara, V. Facilitators and inhibitors of transition for older people who have relocated to a long-term care facility: A systematic review. Health. Soc. Care Community 2019, 27, e57–e81. [CrossRef]
Koppitz, A.L.; Dreizler, J.; Altherr, J.; Bosshard, G.; Naef, R.; Imhof, L. Relocation experiences with unplanned admission to a nursing home: A qualitative study. Int. Psychogeriatr. 2017, 29, 517–527. [CrossRef]
Vaismoradi, M.; Wang, I.-L.; Turunen, H.; Bondas, T. Older people’s experiences of care in nursing homes: A meta-synthesis: Care in nursing homes. Int. Nurs. Rev. 2016, 63, 111–121. [CrossRef]
Altintas, E.; De Benedetto, G.; Gallouj, K. Adaptation to nursing home: The role of leisure activities in light of motivation and relatedness. Arch. Gerontol. Geriatr. 2017, 70, 8–13. [CrossRef]
Brownie, S.; Horstmanshof, L.; Garbutt, R. Factors that impact residents’ transition and psychological adjustment to long-term aged care: A systematic literature review. Int. J. Nurs. Stud. 2014, 51, 1654–1666. [CrossRef]
Toot, S.; Swinson, T.; Devine, M.; Challis, D.; Orrell, M. Causes of nursing home placement for older people with dementia: A systematic review and meta-analysis. Int. Psychogeriatr. 2017, 29, 195–208. [CrossRef] [PubMed]
Kwon, S.-H.; Tae, Y.-S. Nursing home placement: The process of decision making and adaptation among adult children caregivers of demented parents in Korea. Asian Nurs. Res. 2012, 6, 143–151. [CrossRef] [PubMed]
Gaugler, J.E.; Mittelman, M.S.; Hepburn, K.; Newcomer, R. Clinically significant changes in burden and depression among dementia caregivers following nursing home admission. BMC Med. 2010, 8, 85. [CrossRef]
Rodríguez-Martín, B.; Martínez-Andrés, M.; Cervera-Monteagudo, B.; Notario-Pacheco, B.; Martínez-Vizcaíno, V. Preconceptions about institutionalisation at public nursing homes in Spain: Views of residents and family members. Ageing Soc. 2014, 34, 547–568. [CrossRef]
Roberts, A.R.; Ishler, K.J. Family involvement in the nursing home and perceived resident quality of life. Gerontologist 2018, 58, 1033–1043. [CrossRef]
Ryan, A.A.; McKenna, H. ’It’s the little things that count’. Families’ experience of roles, relationships and quality of care in rural nursing homes. Int. J. Older People Nurs. 2015, 10, 38–47. [CrossRef] [PubMed]
Bollig, G.; Gjengedal, E.; Rosland, J.H. Nothing to complain about? Residents’ and relatives’ views on a “good life” and ethical challenges in nursing homes. Nurs. Ethics 2016, 23, 142–153. [CrossRef] [PubMed]
Butcher, H.K.; Holkup, P.A.; Park, M.; Maas, M. Thematic analysis of the experience of making a decision to place a family member with Alzheimer’s disease in a special care unit. Res. Nurs. Health 2001, 24, 470–480. [CrossRef] [PubMed]
Canham, S.L.; Battersby, L.; Fang, M.L.; Sixsmith, J.; Woolrych, R.; Sixsmith, A. From familiar faces to family: Staff and resident relationships in long-term care. J. Aging Health 2017, 29, 842–857. [CrossRef] [PubMed]
Ellis, J.M.; Rawson, H. Nurses’ and personal care assistants’ role in improving the relocation of older people into nursing homes. J. Clin. Nurs. 2015, 24, 2005–2013. [CrossRef]
Crawford, K.; Digby, R.; Bloomer, M.; Tan, H.; Williams, A. Transitioning from caregiver to visitor in a long-term care facility: The experience of caregivers of people with dementia. Aging Ment. Health 2015, 19, 739–746. [CrossRef]
Cronfalk, B.S.; Ternestedt, B.; Norberg, A. Being a close family member of a person with dementia living in a nursing home. J. Clin. Nurs. 2017, 26, 3519–3528. [CrossRef]
Müller, C.; Lautenschläger, S.; Meyer, G.; Stephan, A. Interventions to support people with dementia and their caregivers during the transition from home care to nursing home care: A systematic review. Int. J. Nurs. Stud. 2017, 71, 139–152. [CrossRef] [PubMed]
Rosenthal, C.J.; Dawson, P. Wives of institutionalized elderly men: The first stage of the transition to quasi-widowhood. J. Aging Health 1991, 3, 315–334. [CrossRef]
Martín, M.; Riquelme, A.; Ortigosa, J.M.; Méndez, M. Proyecto familia transcultural. Health Med. 2017. Available online: https://www.slideshare.net/MartaMartnCarbonell/poster-proyecto-familia-transcultural (accessed on 8 May 2020)
Riquelme, A.; Ortigosa, J.M.; Méndez, I.; Llamazares, B.; Martínez, A. Factores Relacionados con la Adaptación Familiar Tras el Iingreso en una Residencia geriátrica. In Proceedings of the IV Congreso Internacional de Investigación en Salud y Envejecimiento, Murcia, Spain, 29–30 June 2017
Davison, T.E.; Camões-Costa, V.; Clark, A. Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff. J. Clin. Nurs. 2019, 28, 3901–3913. [CrossRef] [PubMed]
Soler, J.; Pérez-Sola, V.; Puigdemont, D.; Pérez-Blanco, J.; Figueres, M.; Alvarez, E. Estudio de validación del center for epidemiologic studies-depression (CES-D) en una población española de pacientes con trastornos afectivos. Validation study of the Center for Epidemiologic Studies-Depression (CES-D) in affective disorders in Spanish population. Actas Es. Psiquiatr. 1997, 25, 243–249.
Muñiz, J.; Fonseca-Pedrero, E. Diez pasos para la construcción de un test. Psicothema 2019, 31, 7–16. [CrossRef] [PubMed]
Bédard, M.; Molloy, D.W.; Squire, L.; Dubois, S.; Lever, J.A.; O’Donnell, M. The Zarit Burden interview A new short version and screening version. Gerontologist 2001, 41, 652–657. [CrossRef]
International Test Commission (ITC). The international test commission guidelines on the security of tests, examinations, and other assessments. Int. J. Testing. 2016, 16, 181–204. [CrossRef]
International Test Commission (ITC). ITC guidelines on quality control in scoring, test analysis, and reporting of test scores. Int. J. Testing. 2014, 14, 195–217. [CrossRef]
Fernández, J.M.; Hernández, A.; Hermida, J.R.F. Utilización de los test en España: El punto de vista de los psicólogos. Papeles del Psicól. 2020, 41, 1–15. [CrossRef]
Polanco, J.G.C.; Barrero, J.A.C.; Bedoya, M.K.L. Análisis bibliométrico como herramienta para el seguimiento de instrumentos psicológicos validados en Colombia. Rev. Ibérica Sist. E. Tecnol. Informação. 2019, E18, 38–46.
Ledesma, R.D.; Ferrando, P.J.; Tosi, J.D. Uso del análisis factorial exploratorio en RIDEP. Recomendaciones para autores y revisores. Rev. Iberoam. Diagnóstico Evaluación Aval Psicológica 2019, 52, 173–180. [CrossRef]
Lloret-Segura, S.; Ferreres-Traver, A.; Hernández-Baeza, A.; Tomás-Marco, I. El análisis factorial exploratorio de los ítems: Una guía práctica, revisada y actualizada. An. Psicol. Ann. Psychol. 2014, 30, 1151–1169. [CrossRef]
Mignani, V.; Ingravallo, F.; Mariani, E.; Chattat, R. Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: A systematic review and thematic synthesis. Clin. Interv. Aging. 2017, 12, 475–484. [CrossRef]
Pérez, M.C.; Romero, R.; Morillo, M.S.; Galán, J.M. Estudio descriptivo sobre la implicación de las familias en los cuidados de los ancianos institucionalizados. Eur. J. Investig. Health Psychol. Educ. 2015, 4, 203–213. [CrossRef]
Catena, A.; Ramos, M.M.; Trujillo, H.M. Análisis Multivariado. Un Manual Para Investigadores; Biblioteca Nueva: Madrid, Spain, 2003.
Feria, Y.K.; Solano, M.M. Adaptación a la Institucionalización de los Familiares de Ancianos Residentes en el Hogar Geriátrico Semillitas de Fe (Barranquilla); Unpublished Manuscript; Universidad Cooperativa de Colombia: Santa Marta, Columbia, 2007
Gempp, L.; Benadof, D. Percepción de apoyo familiar de adultos mayores residentes en establecimientos de larga estadía. Rev. Chil. Salud Pública. 2017, 21, 142–149. [CrossRef]
Powell, C.; Blighe, A.; Froggatt, K.; McCormack, B.; Woodward, C.B.; Young, J.; Robinson, L.; Downs, M. Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study. J. Clin. Nurs. 2018, 27, 317–327. [CrossRef]
Kinley, J.; Hockley, J.; Stone, L.; Brazil, K. Family perceptions of care at the end of life in UK nursing care homes. J. Res. Nurs. 2018, 23, 203–217. [CrossRef]
Villanueva, A.; García-Vivar, C.; Canga, N.; Canga, A. Efectividad de las intervenciones familiares en centros geriátricos: Una revisión sistemática. An. Sist. Sanit. Navar. 2015, 38, 93–104. [CrossRef]
Canga, A.; Esandi, N. La familia como objeto de cuidado: Hacia un enfoque integrador en la atención de enfermería. An. Sist. Sanit. Navar. 2016, 39, 319–322. [PubMed]
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spelling Riquelme Marín, AntonioMartín Carbonell, Marta de la CaridadOrtigosa Quiles, Juan ManuelMéndez Mateo, Inmaculada17(20)2021-01-20T16:47:58Z2021-01-20T16:47:58Z2020-10-191660-4601https://doi.org/10.3390/ijerph17207597https://hdl.handle.net/20.500.12494/32673Riquelme-Marín, A.; Martín-Carbonell, M.; Ortigosa-Quiles, J.M.; Méndez, I. Development and Exploration of Psychometric Properties of the Family Adjustment Questionnaire for Admitting an Older Adult to a Nursing Home (CAFIAR). Int. J. Environ. Res. Public Health 2020, 17, 7597.Antecedentes: La admisión de un adulto mayor en un hogar de ancianos implica importantes esfuerzos de adaptación por parte de la familia. Nuestro objetivo era elaborar un instrumento de evaluación para ello, dado que hasta la fecha no existía. Método: Participantes: 134 familiares de diferentes hogares de ancianos de la Región de Murcia. Instrumentos: entrevista estructurada para información sociodemográfica, satisfacción con el hogar de ancianos, autoevaluación de bienestar y salud, Cuestionario de Depresión de Radloff (CES-D) y la primera versión de CAFIAR. Resultados: Se obtuvo un instrumento de 15 ítems con tres factores: Factor 1 (Malestar por el ingreso de un adulto mayor en un asilo de ancianos), Factor 2 (Alivio) y Factor 3 (Nostalgia y preocupación por el adulto mayor), además a un índice de ajuste general, con un alfa de Cronbach de 0,74. El índice de ajuste general y las subescalas que demuestran un ajuste deficiente se correlacionaron significativamente con la depresión y una peor autoevaluación de la salud, mientras que la subescala de alivio, que indica un mejor ajuste, se correlacionó significativamente con el bienestar y una autoevaluación de salud positiva. Conclusiones: El ajuste familiar en el ingreso de un adulto mayor a un cuestionario de residencia de ancianos (CAFIAR) tiene propiedades psicométricas adecuadas para evaluar la adaptación familiar en el ingreso de un adulto mayor en una institución.Background: Admitting an older adult to a nursing home involves significant adjustment efforts by the family. Our goal was to prepare an assessment instrument for this, given that there was none to date. Method: Participants—134 relatives from different nursing homes in the region of Murcia. Instruments—structured interview for socio-demographic information, satisfaction with the nursing home, well-being and health self-assessment, Radloff’s Depression Questionnaire (CES-D), and the first version of CAFIAR. Results: A 15-item instrument with three factors was obtained: Factor 1 (Unease due to admitting an older adult to a nursing home), Factor 2 (Relief), and Factor 3 (Nostalgia and concern for the older adult), in addition to a general adjustment index, with a Cronbach’s alpha of 0.74. The general adjustment index and the subscales that demonstrate poor adjustment were significantly correlated with depression and a worse health self-assessment, while the Relief subscale, which indicates better adjustment, was significantly correlated with well-being and a positive health self-assessment. Conclusions: The family adjustment in admitting an older adult to a nursing home questionnaire (CAFIAR) has adequate psychometric properties to assess family adaptation in admitting an older adult to an institutionhttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0001561776https://orcid.org/0000-0002-6337-577Xhttps://scienti.minciencias.gov.co/gruplac/jsp/Medicion/graficas/verPerfiles.jsp?id_convocatoria=19&nroIdGrupo=00000000007548martha.martinc@campusucc.edu.cohttp://scholar.google.com/citations?user=dzSlO-cAAAAJ&hl=esMDPIUniversidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, Santa MartaPsicologíaSanta Martahttps://www.mdpi.com/1660-4601/17/20/7597International Journal of Environmental Research and Public HealthOrganización Mundial de la Salud. Envejecimiento y Salud. 2018. Available online: https://www.who.int/es/ news-room/fact-sheets/detail/envejecimiento-y-salud (accessed on 5 May 2020).Dieckmann, F.; Rodekohr, B.; Mätze, C. Relocation decisions to nursing homes for older persons with intellectual disability. Z. Gerontol. Geriatr. 2019, 52, 241–248. [CrossRef] [PubMed]Sullivan, G.J.; Williams, C. Older adult transitions into long-term care: A Meta-synthesis. J. Gerontol. Nurs. 2016, 43, 41–49. [CrossRef] [PubMed]Sury, L.; Burns, K.; Brodaty, H. Moving in: Adjustment of people living with dementia going into a nursing home and their families. Int. Psychogeriatr. 2013, 25, 867–876. [CrossRef]Gilmore-Bykovskyi, A.L.; Roberts, T.J.; King, B.J.; Kennelty, K.A.; Kind, A.J.H. Transitions from hospitals to skilled nursing facilities for persons with dementia: A challenging convergence of patient and system-level needs. Gerontologist 2016, 57, 867–879. [CrossRef] [PubMed]Lao, S.S.W.; Low, L.P.L.; Wong, K.K.Y. Older residents’ perceptions of family involvement in residential care. Int. J. Qual. Stud. Health Well-Being 2019, 14. [CrossRef] [PubMed]Fitzpatrick, J.M.; Tzouvara, V. Facilitators and inhibitors of transition for older people who have relocated to a long-term care facility: A systematic review. Health. Soc. Care Community 2019, 27, e57–e81. [CrossRef]Koppitz, A.L.; Dreizler, J.; Altherr, J.; Bosshard, G.; Naef, R.; Imhof, L. Relocation experiences with unplanned admission to a nursing home: A qualitative study. Int. Psychogeriatr. 2017, 29, 517–527. [CrossRef]Vaismoradi, M.; Wang, I.-L.; Turunen, H.; Bondas, T. Older people’s experiences of care in nursing homes: A meta-synthesis: Care in nursing homes. Int. Nurs. Rev. 2016, 63, 111–121. [CrossRef]Altintas, E.; De Benedetto, G.; Gallouj, K. Adaptation to nursing home: The role of leisure activities in light of motivation and relatedness. Arch. Gerontol. Geriatr. 2017, 70, 8–13. [CrossRef]Brownie, S.; Horstmanshof, L.; Garbutt, R. Factors that impact residents’ transition and psychological adjustment to long-term aged care: A systematic literature review. Int. J. Nurs. Stud. 2014, 51, 1654–1666. [CrossRef]Toot, S.; Swinson, T.; Devine, M.; Challis, D.; Orrell, M. Causes of nursing home placement for older people with dementia: A systematic review and meta-analysis. Int. Psychogeriatr. 2017, 29, 195–208. [CrossRef] [PubMed]Kwon, S.-H.; Tae, Y.-S. Nursing home placement: The process of decision making and adaptation among adult children caregivers of demented parents in Korea. Asian Nurs. Res. 2012, 6, 143–151. [CrossRef] [PubMed]Gaugler, J.E.; Mittelman, M.S.; Hepburn, K.; Newcomer, R. Clinically significant changes in burden and depression among dementia caregivers following nursing home admission. BMC Med. 2010, 8, 85. [CrossRef]Rodríguez-Martín, B.; Martínez-Andrés, M.; Cervera-Monteagudo, B.; Notario-Pacheco, B.; Martínez-Vizcaíno, V. Preconceptions about institutionalisation at public nursing homes in Spain: Views of residents and family members. Ageing Soc. 2014, 34, 547–568. [CrossRef]Roberts, A.R.; Ishler, K.J. Family involvement in the nursing home and perceived resident quality of life. Gerontologist 2018, 58, 1033–1043. [CrossRef]Ryan, A.A.; McKenna, H. ’It’s the little things that count’. Families’ experience of roles, relationships and quality of care in rural nursing homes. Int. J. Older People Nurs. 2015, 10, 38–47. [CrossRef] [PubMed]Bollig, G.; Gjengedal, E.; Rosland, J.H. Nothing to complain about? Residents’ and relatives’ views on a “good life” and ethical challenges in nursing homes. Nurs. Ethics 2016, 23, 142–153. [CrossRef] [PubMed]Butcher, H.K.; Holkup, P.A.; Park, M.; Maas, M. Thematic analysis of the experience of making a decision to place a family member with Alzheimer’s disease in a special care unit. Res. Nurs. Health 2001, 24, 470–480. [CrossRef] [PubMed]Canham, S.L.; Battersby, L.; Fang, M.L.; Sixsmith, J.; Woolrych, R.; Sixsmith, A. From familiar faces to family: Staff and resident relationships in long-term care. J. Aging Health 2017, 29, 842–857. [CrossRef] [PubMed]Ellis, J.M.; Rawson, H. Nurses’ and personal care assistants’ role in improving the relocation of older people into nursing homes. J. Clin. Nurs. 2015, 24, 2005–2013. [CrossRef]Crawford, K.; Digby, R.; Bloomer, M.; Tan, H.; Williams, A. Transitioning from caregiver to visitor in a long-term care facility: The experience of caregivers of people with dementia. Aging Ment. Health 2015, 19, 739–746. [CrossRef]Cronfalk, B.S.; Ternestedt, B.; Norberg, A. Being a close family member of a person with dementia living in a nursing home. J. Clin. Nurs. 2017, 26, 3519–3528. [CrossRef]Müller, C.; Lautenschläger, S.; Meyer, G.; Stephan, A. Interventions to support people with dementia and their caregivers during the transition from home care to nursing home care: A systematic review. Int. J. Nurs. Stud. 2017, 71, 139–152. [CrossRef] [PubMed]Rosenthal, C.J.; Dawson, P. Wives of institutionalized elderly men: The first stage of the transition to quasi-widowhood. J. Aging Health 1991, 3, 315–334. [CrossRef]Martín, M.; Riquelme, A.; Ortigosa, J.M.; Méndez, M. Proyecto familia transcultural. Health Med. 2017. Available online: https://www.slideshare.net/MartaMartnCarbonell/poster-proyecto-familia-transcultural (accessed on 8 May 2020)Riquelme, A.; Ortigosa, J.M.; Méndez, I.; Llamazares, B.; Martínez, A. Factores Relacionados con la Adaptación Familiar Tras el Iingreso en una Residencia geriátrica. In Proceedings of the IV Congreso Internacional de Investigación en Salud y Envejecimiento, Murcia, Spain, 29–30 June 2017Davison, T.E.; Camões-Costa, V.; Clark, A. Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff. J. Clin. Nurs. 2019, 28, 3901–3913. [CrossRef] [PubMed]Soler, J.; Pérez-Sola, V.; Puigdemont, D.; Pérez-Blanco, J.; Figueres, M.; Alvarez, E. Estudio de validación del center for epidemiologic studies-depression (CES-D) en una población española de pacientes con trastornos afectivos. Validation study of the Center for Epidemiologic Studies-Depression (CES-D) in affective disorders in Spanish population. Actas Es. Psiquiatr. 1997, 25, 243–249.Muñiz, J.; Fonseca-Pedrero, E. Diez pasos para la construcción de un test. Psicothema 2019, 31, 7–16. [CrossRef] [PubMed]Bédard, M.; Molloy, D.W.; Squire, L.; Dubois, S.; Lever, J.A.; O’Donnell, M. The Zarit Burden interview A new short version and screening version. Gerontologist 2001, 41, 652–657. [CrossRef]International Test Commission (ITC). The international test commission guidelines on the security of tests, examinations, and other assessments. Int. J. Testing. 2016, 16, 181–204. [CrossRef]International Test Commission (ITC). ITC guidelines on quality control in scoring, test analysis, and reporting of test scores. Int. J. Testing. 2014, 14, 195–217. [CrossRef]Fernández, J.M.; Hernández, A.; Hermida, J.R.F. Utilización de los test en España: El punto de vista de los psicólogos. Papeles del Psicól. 2020, 41, 1–15. [CrossRef]Polanco, J.G.C.; Barrero, J.A.C.; Bedoya, M.K.L. Análisis bibliométrico como herramienta para el seguimiento de instrumentos psicológicos validados en Colombia. Rev. Ibérica Sist. E. Tecnol. Informação. 2019, E18, 38–46.Ledesma, R.D.; Ferrando, P.J.; Tosi, J.D. Uso del análisis factorial exploratorio en RIDEP. Recomendaciones para autores y revisores. Rev. Iberoam. Diagnóstico Evaluación Aval Psicológica 2019, 52, 173–180. [CrossRef]Lloret-Segura, S.; Ferreres-Traver, A.; Hernández-Baeza, A.; Tomás-Marco, I. El análisis factorial exploratorio de los ítems: Una guía práctica, revisada y actualizada. An. Psicol. Ann. Psychol. 2014, 30, 1151–1169. [CrossRef]Mignani, V.; Ingravallo, F.; Mariani, E.; Chattat, R. Perspectives of older people living in long-term care facilities and of their family members toward advance care planning discussions: A systematic review and thematic synthesis. Clin. Interv. Aging. 2017, 12, 475–484. [CrossRef]Pérez, M.C.; Romero, R.; Morillo, M.S.; Galán, J.M. Estudio descriptivo sobre la implicación de las familias en los cuidados de los ancianos institucionalizados. Eur. J. Investig. Health Psychol. Educ. 2015, 4, 203–213. [CrossRef]Catena, A.; Ramos, M.M.; Trujillo, H.M. Análisis Multivariado. Un Manual Para Investigadores; Biblioteca Nueva: Madrid, Spain, 2003.Feria, Y.K.; Solano, M.M. Adaptación a la Institucionalización de los Familiares de Ancianos Residentes en el Hogar Geriátrico Semillitas de Fe (Barranquilla); Unpublished Manuscript; Universidad Cooperativa de Colombia: Santa Marta, Columbia, 2007Gempp, L.; Benadof, D. Percepción de apoyo familiar de adultos mayores residentes en establecimientos de larga estadía. Rev. Chil. Salud Pública. 2017, 21, 142–149. [CrossRef]Powell, C.; Blighe, A.; Froggatt, K.; McCormack, B.; Woodward, C.B.; Young, J.; Robinson, L.; Downs, M. Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study. J. Clin. Nurs. 2018, 27, 317–327. [CrossRef]Kinley, J.; Hockley, J.; Stone, L.; Brazil, K. Family perceptions of care at the end of life in UK nursing care homes. J. Res. Nurs. 2018, 23, 203–217. [CrossRef]Villanueva, A.; García-Vivar, C.; Canga, N.; Canga, A. Efectividad de las intervenciones familiares en centros geriátricos: Una revisión sistemática. An. Sist. Sanit. Navar. 2015, 38, 93–104. [CrossRef]Canga, A.; Esandi, N. La familia como objeto de cuidado: Hacia un enfoque integrador en la atención de enfermería. An. Sist. Sanit. Navar. 2016, 39, 319–322. 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