Social care‐related outcomes in Finland. Construct validity and structural characteristics of the Finnish ASCOT measure with older home care users

Lien Nguyen, Ismo Linnosmaa, Stacey Rand, Juliette Malley, Kamilla Razik, Birgit Trukeschitz, Julien Forder

Publication: Scientific journalJournal articlepeer-review


The Adult Social Care Outcomes Toolkit four response‐level interview schedule (ASCOT INT4) for service users was translated into Finnish. The aim of this paper was to investigate the construct validity and structural characteristics of the Finnish ASCOT. We used data from a face‐to‐face interview survey of older people receiving publicly funded home care services, which was conducted in 2016–2017 (n = 493), excluding missing values and proxy respondents (n = 334). Chi‐square tests, adjusted residuals and analyses of variance were used to examine hypothesised associations between each attribute and a number of relevant variables regarding health and well‐being, disabilities, living arrangements, social contact and support, experience of service use, and the nature of the locality and environment. Structural characteristics were explored using exploratory factor analysis and Cronbach's alpha test. The EQ‐5D‐3L and ASCOT were moderately correlated (r = 0.429; p < 0.001). The ASCOT attributes were statistically positively related to the overall quality of life. For other tested variables, we found a high number of significant associations with the control over daily life, occupation, social participation, and personal cleanliness attributes, but fewer significant associations with the other attributes. Cronbach's alpha was 0.697 and a single factor was extracted. This assessment provides evidence to support the construct validity of the Finnish ASCOT. The results support the introduction of the Finnish ASCOT into Finland for use in practical applications. Future research on its reliability would be useful.
Original languageEnglish
Pages (from-to)712 - 728
JournalHealth and Social Care in the Community
Publication statusPublished - 2021

Austrian Classification of Fields of Science and Technology (ÖFOS)

  • 509005 Gerontology
  • 509012 Social policy
  • 502046 Economic policy
  • 504007 Empirical social research

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