Psychometric Analysis of the Turkish Version of the Preparedness Assessment for the Transition Home After Stroke Instrument.

Purpose: The aim of this study was to assess the psychometric properties of the Turkish version of the Preparedness Assessment for the Transition Home After Stroke (PATH-s) instrument.

Design: A cross-sectional design was used to examine the psychometric properties of the PATH-s Tr .

Methods: Between February and November 2023, 250 family members caring for stroke survivors hospitalized in the neurology ward of a university hospital in western Turkey participated in the study. Data were collected using the Sociodemographic Characteristics Form, the PATH-s Tr , and the Preparedness for Caregiving Scale. Language and content validity, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA) were used to assess the validity of the scale. The scale's reliability was examined using Cronbach's alpha coefficient, item-total correlations, and test-retest reliability. Guidelines for the process of cross-cultural adaptation of self-report measures and guidelines for reporting reliability and agreement studies were used.

Results: EFA revealed eight factors underlying the PATH-s Tr structure. The CFA results of the scale showed acceptable fit (χ 2 / df = 2.98, adjusted goodness of fit index = .80, comparative fit index = .89, goodness of fit index = .82, root-mean-square error of approximation = .07). Cronbach's alpha value calculated for the Turkish version of the PATH-s Tr was .91. A statistically significant positive relationship was observed between the total item scores of the scale and the test-retest scores ( r = .99, p < .001).

Conclusion: The results support the Turkish version of the PATH-s as a valid and reliable tool for assessing stroke caregivers' preparedness for home discharge.

Relevance to clinical practice: Caregivers' preparedness for stroke survivors' home discharge is crucial. PATH-s offers a reliable and valid tool to assess caregiver readiness.