Quotation Litschauer, Judith, Trukeschitz, Birgit, Hajji, Assma, Kieninger, Judith, Schoch, Adiam, Linnosmaa, Ismo, Malley, Juliette, Forder, Julien. 2018. Developing ASCOT for Austria – Translation and Validation. ILPN 2018, Wien, Österreich, 10.09-12.09.




Objectives: ASCOT, a measure of service-users’ and carers’ quality of life, has been noted by researchers, policy makers and practitioners in many countries as a measure with the potential to appropriately capture the outcomes of long-term care and other services for older people. Adapting such instruments for use in other countries requires adequate cross-cultural translation and validation. This paper aims to provide an overview of the translation of the ASCOT instrument for service users (ASCOT-S) and carers (ASCOT-C) into German and the cross-cultural validation. Methods: The ASCOT instruments were translated from English into German by a translation company. For evaluating cross-cultural validity, we applied two methodological approaches. First, we conducted cognitive interviews with service users, carers, professional care workers to test for the understanding of the main concepts. Second, Austrian large-scale survey data was used for factor analysis to identify whether one single factor underlies the ASCOT items. We used hypothesis testing to assess the relationship between the domains of the ASCOT measure and related constructs. These associations had been established in a previous English studies and were tested using Chi-squared tests and one-way analysis of variance. Results: Qualitative methods supported cross-cultural validity of the German ASCOT-instruments. A Cronbach’s alpha of 0.7 (ASCOT-S) and 0.8 (ASCOT-C) and a confirmatory factor analysis (CFA, using a maximum likelihood estimate) provided further support that the domains of the ASCOT instruments measure a single underlying construct, namely social care related quality of life. Hypothesis testing showed that the ASCOT items are statistically significantly associated with related constructs.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Paper presented at an academic conference or symposium
Language English
Title Developing ASCOT for Austria – Translation and Validation
Event ILPN 2018
Year 2018
Date 10.09-12.09
Country Austria
Location Wien


EXCELC - Exploring Comparative Effectiveness and Efficiency in Long-term Care
Litschauer, Judith (Former researcher)
Trukeschitz, Birgit (Details)
Hajji, Assma (Details)
Kieninger, Judith (Former researcher)
Schoch, Adiam (Former researcher)
Forder, Julien (University of Kent, United Kingdom)
Linnosmaa, Ismo (National Institute for Health and Welfare, Finland)
Malley, Juliette (London School of Economics and Political Science, United Kingdom)
Research Institute for Economics of Aging FI (Details)
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