Assessing the well-being of patients with dementia: validity and reliability of the Spanish version of the Dementia Care Mapping (DCM) tool

Based on person-centred care (PCC), new instruments to assess the quality of life of elderly people with dementia, such as the Dementia Care Mapping (DCM) tool, have been developed. The aim of the study was to determine the psychometric properties of the DCM tool for its use in research into nursing homes. Sixty-eight elderly people who had dementia living in four different nursing homes participated in the study. DCM was applied twice (with six months difference between each administration) and its results were compared with the GENCAT scale of quality of life. Results showed that DCM has a limited concurrent validity, test-retest reliability and inner consistency, which questions its use as a research tool. The authors discuss the difficulty of evaluating the quality of life in people who have dementia and what the DCM tool really evaluates.