Murphy MC, Somerville E, Keglovits M, Hu YL, Stark S. In-Home Medication Management Performance Evaluation (HOME-Rx): A Validity Study.
Am J Occup Ther 2017;
71:7104190020p1-7104190020p7. [PMID:
28661381 DOI:
10.5014/ajot.2017.022756]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE
This study assessed the initial psychometric properties of a novel in-home, performance-based instrument for older adults called the In-Home Medication Management Performance Evaluation (HOME-Rx).
METHOD
Content validity of the HOME-Rx was determined through the multistep content validity index (CVI) process. Content experts provided qualitative and quantitative judgment of the instrument's ability to measure medication management. The assessment's target population provided qualitative feedback. CVI outcomes informed instrument revisions.
RESULTS
Content experts (n = 7) were in agreement that the overall instrument was valid for measuring medication management (scale-level CVI = .95). Six items were deleted because of low agreement (item-level CVI <.80). Twenty-nine minor edits were made to the order of questions and language. Older adult participants (n = 5) reported the instrument was relevant, acceptable, and easy to understand.
CONCLUSION
The HOME-Rx appears to be a relevant and valid method to assess performance barriers to medication management in the home.
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