Developing an assessment scale for long-term care reablement literacy in home care workers in Taiwan using a modified De

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RESEARCH ARTICLE

Open Access

Developing an assessment scale for longterm care reablement literacy in home care workers in Taiwan using a modified Delphi method Hsiao-Wei Yu1,2,3,4* , Tzu-Ying Chiu5, Pin-Yuan Chen6, Tai-Hsiang Liao7, Wen-Hui Chang8, Mei-Wen Wang4 and Pay-Shin Lin9

Abstract Background: Reablement is a philosophy of change in long-term care (LTC). Assessing the knowledge and competence of LTC professionals who provide reablement services is vital in LTC research. This study aimed to develop a scale for the assessment of long-term care reablement literacy (LTCRL) and employ this scale to assess the performance of home care workers in Taiwan. Methods: To develop this scale, we employed the modified Delphi technique based on the theoretical framework of health literacy and the content of service delivery in reablement. Home care workers from northern, central, and southern Taiwan were selected through purposive sampling (N = 119). Participants answered a self-administered questionnaire that included items related to basic demographic characteristics and questions to assess LTCRL. Results: Based on the experts’ consensus on the procedure of the modified Delphi technique, the LTCRL assessment sale consists of 29 questions on four aspects of knowledge acquisition: the abilities to access/obtain, understand, process/appraise, and apply/use. The results revealed that higher education levels and better Chinese language proficiency are associated with higher LTCRL outcomes among home care workers. Conclusions: The LTCRL assessment scale based on a modified Delphi technique is useful and feasible for evaluating LTCRL in home care workers who provide reablement services in Taiwan. Keywords: Reablement, Literacy, Home care worker, Taiwan

* Correspondence: [email protected] 1 Department of Gerontological Care and Management, College of Nursing, Chang Gung University of Science and Technology, Taiwan; No.261, Wen-Hua 1st Rd., Gui-Shan Dist., Taoyuan City, Taiwan (R.O.C.) 2 Geriatric and Long-term Care Research Center, Chang Gung University of Science and Technology, Taiwan; No.261, Wen-Hua 1st Rd., Gui-Shan Dist., Taoyuan City, Taiwan (R.O.C.) Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of t