
Revising the Resistiveness to Care Scale
Background and Purpose: The Resistiveness to Care Scale for Dementia of the Alzheimer's Type was developed to quantify care-resistant behavior. The purpose of this article is to explain how the instrument was modified and tested in two clinical studies that examined interventions to
improve the oral hygiene of persons with dementia who resist care. Methods: After pilot testing, the revised instrument (RTC-r) was used in 7 facilities (N = 83 residents). Systematic training procedures were implemented to preserve reliability. Results: Clinical validity was confirmed
throughout the pilot and interventional studies. Reliability was assessed using inter-rater reliability, which ranged from 0.87 (p < .001) to 1.0 (p < .001) across 2,328 mouth care observations. Conclusions: The RTC-r validly and reliably measures care-resistant behavior in persons with dementia.
Keywords: DEMENTIA; NURSING HOME; ORAL HYGIENE; RESISTIVENESS TO CARE
Document Type: Research Article
Affiliations: UAB School of Nursing, Birmingham, Alabama
Publication date: August 1, 2016
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