Efforts to establish the reliability of the Resident Assessment Instrument

Sgadari, Antonio; Morris, John N.; Fries, Brant E.; Ljunggren, Gunnar; Jónsson, Pálmi V.; Dupaquier, Jean Noël; Schroll, Marianne

doi:10.1093/ageing/26.suppl_2.27

Cited by 146 publications

(86 citation statements)

References 9 publications

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“…The single items related to vision and hearing were comparable with, or at times higher, than data collected in home care and nursing homes in the United States [19] and in a seven-country study of long-term-care residents [18]. The reliability for items related to pain and IADLs was also similar to that reported for inpatient psychiatry [20].…”

Section: Discussionsupporting

confidence: 66%

“…The current kappa values met or exceeded the scores for most countries, in another multicountry study among long-term-care residents, for items related to ADLs and were at least as high as the lowest kappa value reported for both communication and behavior symptoms [18]. Although higher than in the current study, the kappa values reported by Sgadari et al for mood and behavior symptoms also tended to be much lower than for other domain areas, which is consistent with our findings.…”

Section: Discussionmentioning

confidence: 49%

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Reliability of standardized assessment for adults who are deafblind

Guthrie

Pitman²,

Stolee³

et al. 2011

JRRD

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Abstract-This study assessed the reliability of the interRAI Community Health Assessment (interRAI CHA) and Deafblind Supplement (DbS). The interRAI CHA and DbS represents a multidimensional, standardized assessment instrument for use with adults (18 and older) who are deafblind. The interrater reliability of the instrument was tested through the completion of dual assessments with 44 individuals who were deafblind in the province of Ontario, Canada. Overall, nearly 50% of items had a kappa value of at least 0.60, indicating fair to substantial agreement for these items. Several items related to psychosocial well-being, mood, and sense of involvement had kappa scores of less than 0.40. However, among these items with low kappa values, most (78%) showed at least 70% agreement between the two assessors. The internal consistency of several health subscales, embedded within the assessment, was also very good and ranged from 0.63 to 0.93. The interRAI CHA and DbS represents a reliable instrument for assessing adults with deafblindness to better understand their needs, abilities, and preferences.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 49%

Reliability of standardized assessment for adults who are deafblind

Guthrie

Pitman²,

Stolee³

et al. 2011

JRRD

View full text Add to dashboard Cite

show abstract

“…This information is collected by observations of care-givers and interviews with residents and family members (Morris et al, 1990). MDS items have shown good reliability in several studies and countries , Sgadari et al, 1997. Mood/depressive symptoms…”

Section: Measurement Instrumentsmentioning

confidence: 99%

Depressive symptoms in newly admitted nursing home residents

Achterberg

Pot

Kerkstra

et al. 2006

Int J Geriat Psychiatry

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Depressive symptoms are very prevalent in nursing homes. Residents who are admitted from their own home, or from a residential facility, have more depressive symptoms than residents admitted from the hospital. This may reflect different conceptualizations or different adjustment patterns for those groups. For a better understanding of the factors associated with nursing home depression, future studies in detection, prevention and management of depressive symptoms should start prior to or directly after admission, especially for those who have no prior institutional history.

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“…Any mandated assessment tool is bound to create a certain sense of oppression among its users, which will detract from its acceptability. In contrast, professionals in other countries using the RAI under voluntary auspices are enthusiastic about it (8,34,38). Of course, these are self-selected adopters, who have chosen to use ?…”

Section: Mandated Assessments the Minimum Data Setmentioning

confidence: 99%

Assessment in Long-Term Care

Kane

2000

Annu. Rev. Public Health

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Key Words measurement, mandatory assessment, preferences, care planning s Abstract Long-term care has begun to rely heavily on assessment as a basis for determining eligibility and payment for services, as well as for planning needed care. Mandated assessments have been introduced into nursing homes and will soon be required for home health care and rehabilitation. Many states use a formal structured assessment process to establish clients' eligibility for institutional or community-based care. The common feature of such assessment is attention to physical functioning, but other domains are also relevant, including affect, social function, cognition, pain and discomfort, and satisfaction. Taken together, this cluster is often referred to as quality of life. While some measures attempt to infer this information from clients' behavior, it is best obtained directly from clients' responses whenever possible. The other major component of a long term care assessment relates to obtaining information on clients' preferences and values. These data are important both for weighting the individual components of an assessment and for directly addressing preferences about the care and lifestyle available.

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Efforts to establish the reliability of the Resident Assessment Instrument

Cited by 146 publications

References 9 publications

Reliability of standardized assessment for adults who are deafblind

Reliability of standardized assessment for adults who are deafblind

Depressive symptoms in newly admitted nursing home residents

Assessment in Long-Term Care

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