Validation of the MEDSAIL Tool to Screen for Capacity for Safe and Independent Living Among Nursing Home Residents.
Validation of the MEDSAIL Tool to Screen for Capacity for Safe and Independent Living Among Nursing Home Residents.
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DOI：
10.1016/j.jamda.2020.05.008
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发表时间：
2020-12
影响因子：
7.6
通讯作者：
Naik, Aanand D.
中科院分区：
文献类型：
--
作者：
Mills, Whitney L.;Kunik, Mark E.;Kelly, P. Adam;Wilson, Nancy L.;Starks, Steven;Asghar-Ali, Ali;Curren-Vo, Hannah;Naik, Aanand D.
安全和独立生活能力（SAIL）是指一个人解决日常生活问题和独立生活所需活动的能力。几乎没有指导存在的能力评估，为SAIL之间的养老院居民。因此，在制定排放计划时没有充分考虑SAIL的能力，以确保社区的安全和独立。我们推断，这个问题可以通过制定和执行安全和独立生活的决定（MEDSAIL）工具来解决，该工具是为了筛选社区居住的老年人的SAIL能力而开发的。在这份报告中，我们描述的有效性的MEDSAIL使用时，与疗养院居民的调查结果。前瞻性横断面初步研究。24名退伍军人健康事务社区生活中心（CLC;疗养院）的居民;排除标准为认知障碍太严重，无法完成协议，诊断为严重精神疾病或发育障碍，无法听力或无法口头沟通。参与者完成了2项评估：由研究助理进行的MEDSAIL访谈和由老年精神病学家进行的标准能力访谈。我们检查了内部一致性，发散效度和基于标准的效度。7个MEDSAIL场景中有5个接近可接受的内部一致性水平（α> 0.70）。MEDSAIL评分与标准容量测定高度正相关（0.88，P =.001），2项评估的Wilcoxon秩和检验统计量也具有统计学显著性（P =.001）。MEDSAIL有希望作为一个用户友好的简短筛选工具，供养老院工作人员使用，以了解居民的能力SAIL。这些信息可以用于制定出院计划，以保持居民在社区中的安全和独立。此外，专门针对疗养院设置定制MEDSAIL场景可以进一步增强该工具在此新应用中的有效性和实用性。爱思唯尔公司出版代表AMDA-急性后和长期护理医学协会。
Capacity for safe and independent living (SAIL) refers to an individual’s ability to solve problems associated with everyday life and perform activities necessary for living independently. Little guidance exists on the assessment of capacity for SAIL among nursing home residents. As a result, capacity for SAIL is not fully considered in the development of discharge plans to ensure safety and independence in the community. We reasoned that this problem could be addressed with the Making and Executing Decisions for Safe and Independent Living (MEDSAIL) tool, developed to screen for capacity for SAIL among community-dwelling older adults. In this report, we describe findings on the validity of the MEDSAIL when used with nursing home residents. Prospective cross-sectional pilot study. Twenty-four residents of a Veterans Health Affairs Community Living Center (CLC; nursing home); exclusion criteria were cognitive impairment too severe to complete the protocol, diagnosis of serious mental illness or developmental disability, inability to hear, or inability to communicate verbally. Participants completed 2 assessments: the MEDSAIL interview administered by a research assistant and the criterion standard capacity interview administered by a geriatric psychiatrist. We examined internal consistency, divergent validity, and criterion-based validity. Five of 7 MEDSAIL scenarios approximated acceptable levels of internal consistency (α >0.70). MEDSAIL scores were highly positively correlated with criterion standard capacity determination (0.88, P=.001), and the Wilcoxon rank-sum test statistic for the 2 assessments was also statistically significant (P =.001). MEDSAIL has promise as a user-friendly brief screening tool for use by nursing home staff to understand resident capacity for SAIL. This information can be used in the development of discharge plans to keep the resident safe and independent in the community. In addition, tailoring the MEDSAIL scenarios specifically to the nursing home setting may further enhance the tool’s validity and utility in this new application. Published by Elsevier Inc. on behalf of AMDA – The Society for Post-Acute and Long-Term Care Medicine.
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影响因子：
5.7
作者：
Moye, J;Karel, MJ;Gurrera, RJ
通讯作者：
Gurrera, RJ
DOI：
10.1046/j.1532-5415.2001.49008.x
发表时间：
2001-01-01
影响因子：
6.3
作者：
Pavlik, VN;Hyman, DJ;Dyer, CB
通讯作者：
Dyer, CB
DOI：
10.1016/j.jamda.2012.06.003
发表时间：
2012-09-01
影响因子：
7.6
作者：
Saliba, Debra;DiFilippo, Suzanne;Streim, Joel
通讯作者：
Streim, Joel
DOI：
10.1111/j.1532-5415.2005.53221.x
发表时间：
2005-04-01
影响因子：
6.3
作者：
Nasreddine, ZS;Phillips, NA;Chertkow, H
通讯作者：
Chertkow, H
DOI：
10.1093/gerona/54.10.m494
发表时间：
1999-10-01
影响因子：
5.1
作者：
Morris, JN;Fiatarone, M;Doyle, N
通讯作者：
Doyle, N