Quotation Trukeschitz, Birgit, Litschauer, Judith, Hajji, Assma, Kieninger, Judith, Schoch, Adiam, Malley, Juliette, Rand, Stacey, Linnosmaa, Ismo, Forder, Julien. 2020. Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT). Health and Quality of Life Outcomes. 18 (326), 1-19.




Background: There has been considerable interest in using the Adult Social Care Outcomes Toolkit (ASCOT), developed in England, to measure quality-of-life outcomes of long-term care (LTC-QoL) service provision in national and cross-national studies. Objectives: The aim of this study was to translate and culturally adapt the original ASCOT service user measure into German and to evaluate its content and construct validity in Austrian home care service users. Methods: The translation and cultural adaptation process followed the ISPOR TCA guidelines. We used qualitative data from six cognitive debriefing interviews with Austrian recipients of home care services to assess linguistic and content validity. In addition, cross-sectional survey data (n = 633) were used to evaluate construct validity by testing hypothesized associations established in a previous study for the original English ASCOT service user instrument. Results: Cognitive debriefing interviews confirmed that the German adaptation of the ASCOT service user instrument was understood as intended, although two domains (‘Control over daily life’ and ‘Dignity’) and selected phrases of the response options were challenging to translate into German. All ASCOT domains were statistically significantly associated with related constructs and sensitive to service user sub-group differences. Conclusions: We found good evidence for a valid cross-cultural adaptation of the German version of ASCOT for service users. The analysis also supports the construct validity of the translated instrument and its use in evaluations of QoL-effects of LTC service provision in German-speaking countries. Further research on the reliability and feasibility in different care settings is encouraged.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal Health and Quality of Life Outcomes
Citation Index SSCI
Language English
Title Cross-cultural adaptation and construct validity of the German version of the Adult Social Care Outcomes Toolkit for service users (German ASCOT)
Volume 18
Number 326
Year 2020
Page from 1
Page to 19
Reviewed? Y
URL https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01533-7
DOI https://doi.org/10.1186/s12955-020-01533-7
Open Access Y
Open Access Link https://link.springer.com/epdf/10.1186/s12955-020-01533-7?sharing_token=lLItAbn1yC7ktRBmutCX0G_BpE1tBhCbnbw3BuzI2RPdgQ39ahZNBmwBLDFRd8rFCmPH9vlXlnrCA9


EXCELC - Exploring Comparative Effectiveness and Efficiency in Long-term Care
ASCOT for German speaking countries and regions
Trukeschitz, Birgit (Details)
Hajji, Assma (Details)
Forder, Julien (University of Kent, United Kingdom)
Kieninger, Judith (WU - ausgeschieden, Austria)
Linnosmaa, Ismo (Finnish Institute for Health and Welfare; University of Eastern Finland, Finland)
Litschauer, Judith (WU - ausgeschieden, Austria)
Malley, Juliette (London School of Economics and Political Science, United Kingdom)
Rand, Stacey (University of Kent, United Kingdom)
Schoch, Adiam (WU - ausgeschieden, Austria)
Research Institute for Economics of Aging FI (Details)
Research areas (ÖSTAT Classification 'Statistik Austria')
5334 Political economic policy (Details)
5405 Empirical social research (Details)
5421 Aging research (Details)
5911 Social policy (Details)
5933 Aging research (Details)
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