Concurrent and predictive validity of indicator scales developed for the Comprehensive Assessment and Referral Evaluation interview schedule.

Concurrent and predictive validity of indicator scales developed for the Comprehensive Assessment and Referral Evaluation interview schedule.
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为综合评估和推荐评估面试时间表开发的指标量表的并发和预测有效性。

DOI:
10.1093/geronj/39.2.158
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发表时间:
1984
期刊:
Journal of gerontology
影响因子:
--
通讯作者:
Gurland,BJ
Gurland,BJ
中科院分区:
--
文献类型:
--
作者:
Teresi,JA;Golden,RR;Gurland,BJ

文献摘要

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证据并发和预测有效性的指标量表开发评估精神,社会和医疗条件的老年人提出。这些量表是根据对英国纽约市445名老年社区居民和伦敦396名老年社区居民的概率样本进行的综合评估和转诊评估(CARE)而开发的。我们还从162名纽约老年人的随机子样本的关键侧枝中收集了确证信息。认知障碍和活动限制量表的同时效度与家庭报告的不便和机构的决定有关。使用发病率和死亡率作为结果变量来评估量表的预测有效性。在时间1中被分类为患有医学和精神疾病的个体在1年后的时间2中明显比没有被分类的人更有可能表现出这种疾病。此外,有认知障碍、躯体疾病、活动限制和行动困难的个体在第一时间死亡的几率是没有这种疾病的人的两到三倍,这一结果为这些量表是有效预测结果的论点提供了支持。
Evidence for the concurrent and predictive validity of indicator scales developed to assess psychiatric, social, and medical conditions of elderly adults is presented. These scales were developed from the Comprehensive Assessment and Referral Evaluation (CARE) on probability samples of 445 elderly community residents in New York City and 396 in London, England. Corroborative information was also collected from key collaterals of a random subsample of 162 of the New York elderly adults. Concurrent validity of the cognitive impairment and activity limitation scales was tested in relation to family report of inconvenience and decision to institutionalize. Predictive validity of the scales was assessed using morbidity and mortality as outcome variables. Individuals classified as having medical and psychiatric disorders at Time 1 were significantly more likely to manifest such disorders 1 year later at Time 2 than were persons not so classified. In addition, the odds that individuals with cognitive impairment, somatic complaints, activity limitation, and difficulty ambulating at Time 1 would be dead within 1 year were two to three times greater than for those without the disorder, a result that provides support for the contention that these scales are useful predictors of outcomes.