To read this content please select one of the options below:

A psychometric study of validation and cross-cultural adaptation of the Holden Communication Scale for elderly with dementia in care homes

Abdullah Alkhawaldeh (Al al-Bayt University, Mafraq, Jordan)
Asem Abdalrahim (Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan)
Mohammad Saleh (The University of Jordan, Amman, Jordan)
Ahmad Ayed (Arab American University Palestine, Jenin, Palestinian Authority)
Anas Nawwaf Abed Alrohman Ababneh (Yarmouk University, Irbid, Jordan and Applied Science Research Center, Applied Science Private University, Amman, Jordan)
Mohammad Rababa (Jordan University of Science and Technology, Irbid, Jordan)
Alaa Dalky (Jordan University of Science and Technology, Irbid, Jordan)
Rasmieh Al-Amer (Isra University, Amman, Jordan and Faculty of Nursing, Yarmouk University, Irbid, Jordan)
Sami Al-Rawashdeh (The Hashemite University, Zarqa, Jordan)
Omar Al Omari (Sultan Qaboos University, Muscat, Oman)
Mohammed ALBashtawy (Al al-Bayt University, Mafraq, Jordan)
Islam Oweidat (Faculty of Nursing, Zarqa Private University, Zarqa, Jordan)
Haitham Khatatbeh (Faculty of Nursing, Jerash University, Jerash, Jordan)
Zaid ALBashtawy (Faculty of Medicine, Yarmouk University, Irbid, Jordan)

Working with Older People

ISSN: 1366-3666

Article publication date: 5 June 2024




This paper aims to validate and adapt the Arabic version of Holden Communication Scale (HCS) for assessing communication skills among old people with dementia in care home.


A study involving 210 elderly residents from Jordanian care homes was conducted, where they completed the Arabic version of the HCS. Internal consistency and factor analysis techniques were precisely used to assess the scale's reliability. Additionally, cognitive function evaluation used the Arabic iteration of the Saint Louis University Mental Status (SLUMS) questionnaire, while communication skills were comprehensively appraised using the HCS.


The Arabic HCS has strong content validity, with a one-component structure accounting for 60% of the variation and a three-factor structure accounting for 77.2% of the variance. The original three-subgroup structure of the scale was recreated, and internal consistency varied from 0.85 to 0.87, indicating good reliability.


This study aimed to assess the reliability and validity of the Arabic version of the HCS among old people with dementia residing in care homes. The authors conducted examination of its psychometric properties within this unique population.



Funding: The authors received no financial support for the research authorship and/or publication of this article.

Conflicts of interest: No conflicts of interest for this article.


Alkhawaldeh, A., Abdalrahim, A., Saleh, M., Ayed, A., Ababneh, A.N.A.A., Rababa, M., Dalky, A., Al-Amer, R., Al-Rawashdeh, S., Al Omari, O., ALBashtawy, M., Oweidat, I., Khatatbeh, H. and ALBashtawy, Z. (2024), "A psychometric study of validation and cross-cultural adaptation of the Holden Communication Scale for elderly with dementia in care homes", Working with Older People, Vol. ahead-of-print No. ahead-of-print.



Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

Related articles