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The daily practice in home help services in the Netherlands: instrument development.

Arts, S., Kersten, H., Kerkstra, A. The daily practice in home help services in the Netherlands: instrument development. Health & Social Care in the Community: 1996, 4(5), 280-289
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Many developments have taken place in home help services which have made further professionalization necessary. For this reason, a national study had been planned in the Netherlands to obtain a representative picture of the work of home helps and to examine overloading aspects of their workload. Five instruments were developed for this purpose and a pilot study was carried out to establish the reliabilitiy and content validity of the main instrument: a registration form to record the activities that home helps perform. Twenty-five home helps articipated in the pilot study. An observer monitored them during their home visits for a period of 1 week. Both the observer and the home help recorded the activities that were carried out independently on the registration form. The reliability of the registration form was assessed by inter-rader-reliability. The validity of this instrument was estimated by the content validity. The results show that the registration form is, in general, a reliable instrument. There is a high level of agreement between home helps and observers in the four main categories: 94% for the household and the caring activities, 98% for the psycho-social or supporting activities and 96% for the reporting activities. The content validity of the form is adequate and only a few items will be added to the final version of the form. (aut.ref.)