The MDS Challenging Behavior Profile for long-term care

D.L. Gerritsen, W.P. Achterberg, N. Steverink, A.M. Pot, D.H.M. Frijters, M.W. Ribbe

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The objective was to construct a reliable and valid challenging behavior scale with items from the Minimum Data Set (MDS).
Exploratory factor analyses of a sample of 656 nursing home residents yielded a 16-item Behavior Profile containing four
internally consistent and valid subscales measuring conflict behavior, withdrawn behavior, agitation and attention seeking
behavior (alpha range: 0.69–0.80). On a second dataset of 227 nursing home residents, internal consistency, inter-rater
reliability and validity against the Behavior Rating Scale for Psychogeriatric Inpatients (GIP) were established. Internal
consistency of the subscales ranged between 0.54 and 0.78. The overall inter-rater reliability of the items was 0.53 (kappa); of
the scale it was 0.75 (ICC). TheMDSChallenging Behavior Profile could potentially be an important contribution to existing
clinical MDS-scales but additional studies on reliability, validity and usefulness are needed.
Original languageUndefined/Unknown
Pages (from-to)116-123
Number of pages8
JournalAging and Mental Health
Issue number1
Publication statusPublished - 2008

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