Article

The purpose of this study was to develop the Personhood Questionnaire
(PQ) to determine the factor structure of "personhood" for elderly healthcare
services and identify personhood components other than PQ items. METHOD: We enrolled 314 healthcare professionals at long-term care facilities in Japan.
Participants completed a questionnaire consisting of 17 PQ items. The PQ was
designed to assess the degree of need in elderly healthcare services on a 5-point
Likert scale (Question 1), and identify personhood components other than PQ items
(Question 2). We performed factor analysis for answers to Question 1, and text
mining and cluster analysis for answers to Question 2. RESULTS: Factor analysis
revealed a four-factor structure. Cronbach's alpha was 0.87 for the 17 original
items and 0.86 for the 15 items after removing two items. Text mining identified
27 personhood components, which were classified into three clusters. The second
cluster consisted of non-PQ items. CONCLUSIONS:
Factor 1 was "forming daily
life," factor 2 was "forming career and context," factor 3 was "affecting
psychological behavior," and factor 4 was "forming basic attributes." Components
of the second cluster require further examination before incorporation into the
concept of personhood. IMPLICATIONS FOR REHABILITATION: Improving the quality
of individualized care, in which "personhood" and dignity of elderly people are
respected, is an urgent goal. * The Model of Human Occupation (MOHO), a
conceptual practice model for occupational therapy, should be used jointly with
the International Classification of Functioning, Disability and Health (ICF) to
establish the concept of personhood. * The construction of personhood in elderly
health care services consists of a four-factor structure, including "forming daily life," "forming career and context," "affecting psychological behavior,"
and "forming basic attributes." * This study suggests that provision of
high-quality individualized care can be achieved by promoting services that focus
on "forming daily life," which has the highest factor contribution.

Langue : ANGLAIS