PRISMA-7:: A case-tinding tool to identify older adults with moderate to severe disabilities

PRISMA-7:: A case-tinding tool to identify older adults with moderate to severe disabilities
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DOI:
10.1016/j.archger.2007.06.004
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发表时间:
2008-07-01
影响因子:
4
通讯作者:
Dubois, Marie-France
Dubois, Marie-France
中科院分区:
医学2区
文献类型:
--
作者:
Raiche, Michel;Hebert, Rejean;Dubois, Marie-France

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已经制定了许多综合评定量表来评估残疾情况。这些评估需要大量的时间,通常由训练有素的专业人员进行。需要一个简单的个案调查工具,以迅速查明有潜在残疾的老年人,然后对他们进行全面评估。在一项对594名社区居住老年受试者的横断面研究中,我们从23个是/否问题的初始列表中开发了一份问卷,并将其与现有问卷进行比较,以确定他们识别中度至重度残疾老年人的相对能力。现有的七个问题工具最初是为了确定有任何残疾的老年人,也是一个很好的严重残疾标记,三个或三个以上肯定答案的截止分数。该临界值的敏感性和特异性分别为78.3%和74.7%。这些有效性指数支持使用这一问卷来确定可能有中度至重度残疾的老年人,以便将他们转介给更全面的评估。(C)2007爱思唯尔爱尔兰有限公司保留所有权利。
Many comprehensive rating scales have been developed to assess disabilities. These assessments, which require significant amounts of time, are usually performed by trained professionals. A simple case-finding instrument is needed to quickly identify older persons with potential disabilities, who then should undergo comprehensive assessments. In a cross-sectional study of 594 community-dwelling older subjects, we developed a questionnaire from an initial list of 23 yes/no questions, and compared it with an existing one to determine their relative ability to identify older persons with moderate to severe disabilities. Initially designed to identify older people with any disability, the existing seven-question tool also provided to be a good marker of significant disabilities, with a cut-off score of three or more positive answers. The sensitivity and specificity of this cut-off are 78.3% and 74.7%, respectively. These validity indices support the use of this questionnaire in identifying olderpersons with potential moderate to severe disabilities with a view to referring them for more comprehensive assessment. (C) 2007 Elsevier Ireland Ltd. All rights reserved.