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Social care-related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT with older home care users

Nguyen, Lien, Linnosmaa, Ismo, Jokimäki, Hanna, Rand, Stacey, Malley, Juliette ORCID: 0000-0001-5759-1647, Razik, Kamilla, Trukeschitz, Birgit and Forder, Julien (2021) Social care-related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT with older home care users. Health and Social Care in the Community, 29 (3). 712 - 728. ISSN 0966-0410

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Identification Number: 10.1111/hsc.13328


The Adult Social Care Outcomes Toolkit four response-level interview schedule (ASCOT INT4) for service users was translated into Finnish. The aim of this paper is to investigate the construct validity and structural characteristics of the Finnish ASCOT. We used data from a face-to-face interview survey of older people receiving publicly-funded home care services, which was conducted in 2016–2017 (n=493), excluding missing values and proxy respondents (n=334). Chi-square tests, adjusted residuals, and analyses of variance were used to examine hypothesised associations between each attribute and a number of relevant variables regarding health and well-being, disabilities, living arrangements, social contact and support, experience of service use, and the nature of the locality and environment. Structural characteristics were explored using exploratory factor analysis and Cronbach’s alpha test. The EQ-5D-3L and ASCOT were moderately correlated (r=0.429; p<0.001). The ASCOT attributes were statistically positively related to the overall quality of life. For other tested variables, we found a high number of significant associations with the control over daily life, occupation, social participation, and personal cleanliness attributes, but fewer significant associations with the other attributes. Cronbach’s alpha was 0.697 and a single factor was extracted. This assessment provides evidence to support the construct validity of the Finnish ASCOT. The results support the introduction of the Finnish ASCOT into Finland for use in practical applications. Future research on its reliability would be useful.

Item Type: Article
Official URL:
Additional Information: © 2021 The Authors
Divisions: Personal Social Services Research Unit
Subjects: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Date Deposited: 13 Jan 2021 13:12
Last Modified: 14 Jun 2024 01:51

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