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. 2012 Jan 1;35(5):376-389.
doi: 10.1080/07317115.2012.702648. Epub 2012 Sep 12.

Psychometric Analysis of the Emotional Tone Rating Scale: A Measure of Person-Centered Communication

Kristine N Williams  1 , Diane K Boyle, Ruth E Herman, Carissa K Coleman, Mary Lee Hummert
Affiliations

Psychometric Analysis of the Emotional Tone Rating Scale: A Measure of Person-Centered Communication

Kristine N Williams et al. Clin Gerontol. .

Abstract

Psychometric analysis of the Emotional Tone Rating Scale (ETRS) was completed using ratings of naïve listeners who evaluated staff-resident communication in three nursing homes. Interrater consistency was high with ICC (2, 1) for agreement = 0.95 and consistency = 0.95. Factor analysis revealed two factors-person-centered communication and controlling communication-that explained 84.8% of the variance. Person-centered communication included seven descriptors (items) with loadings ranging from 0.84 to 0.98 and a coefficient alpha of 0.98. Controlling communication included five items that loaded from -0.63 to .99 with a coefficient alpha of 0.94. These factors were negatively correlated p = -.64 and demonstrated good ranges, standard deviations, and high item-total correlations. Person-centered communication correlated with higher resident engagement in conversation in contrast to controlling communication. The ETRS provides a measure of person-centered communication that can be used to evaluate interactions between nursing staff and older adults who reside in long term care settings.

Keywords: communication; measurement; nursing home; person-centered care.

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