The Comprehensive Assessment and Referral Evaluation (Care)—Rationale, Development and Reliability

Gurland, Barry J.; Kuriansky, Judy; Sharpe, Lawrence; Simon, Robert R.; Stiller, Pamela; Birkett, Peter

doi:10.2190/cl3j-0e20-97xx-mv5l

Cited by 276 publications

(130 citation statements)

References 8 publications

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“…Este instrumento é um questionário multidimensional de avaliação funcional para estudos com a população idosa. O segmento de saúde mental do BOAS é uma tradução adaptada para o português do instrumento CARE, 11 28 também pode ter sido resultante de limitações metodológicas relacionadas à forma de medir a presença de demência com instrumentos pouco específicos ou inadequados para a realidade das populações estudadas. Novos estudos, comparando realidades dentro do Brasil ou de centros no Brasil com outros países, que utilizem metodologias padronizadas e adequadas às diferenças socioculturais, são necessários para que se avance na compreensão da etiologia da demência, e para que se possa planejar ações de saúde com base em dados empíricos mais próximos da realidade dessas populações.…”

Section: O Projetounclassified

Investigações epidemiológicas sobre demência nos países em desenvolvimento

et al. 2002

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ResumoNa medida em que a população mundial está envelhecendo, a demência está se constituindo em importante problema de saúde pública, particularmente nos países em desenvolvimento. Investigações epidemiológicas nestes países são escassas e apresentam dificuldades metodológicas adicionais, principalmente no que se refere à adequação sociocultural dos instrumentos utilizados para a definição de casos. Tendo em vista estas preocupações, foi fundado o "Grupo de Pesquisa em Demência 10/66", que é constituído por uma rede internacional de pesquisadores, predominantemente de países em desenvolvimento. O nome do grupo tem como referência o paradoxo de que menos de 10% dos estudos populacionais sobre demência são dirigidos aos 2/3 ou mais de casos de pessoas com demência que vivem em países em desenvolvimento. O objetivo do artigo é atualizar informações da literatura sobre as diferenças de prevalência e incidência de demência encontradas em países desenvolvidos e em desenvolvimento. Abstract As the world population is ageing, dementia becomes an important public health problem, particularly in developing countries. Epidemiological research in these settings is scarce and present additional methodological difficulties, mainly regarding the socio-cultural adequacy of instruments used to identify cases of dementia. As a result of these concerns the 10/66 Dementia Research Group was founded to fill this gap. This is an international network of investigators, mostly from developing countries,and the group's name was based on the paradox that less than 10% of the populationbased studies on dementia are directed to 2/3 or more cases of people with dementia living in developing countries. The aim of the paper is to update data in the literature regarding the differences in dementia prevalence and incidence seen in developed and developing countries.

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Section: O Projetounclassified

Investigações epidemiológicas sobre demência nos países em desenvolvimento

et al. 2002

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“…[24][25][26][27] The behavioral observation measure contains 23 items such as 'disruptive of others', 'picks/pulls clothing', 'repetitive movements', 'repetitive questioning' and 'wandering'. Each item is rated as to frequency of occurrence; ratings are collected on three occasions within a two-day period and averaged.…”

Section: Outcomes and Covariatesmentioning

confidence: 99%

Service inputs and costs of care related to outcomes among cognitively impaired nursing home residents

Holmes

Teresi

Kong

2000

J Ment Health Policy Econ

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Background: There are over 17 000 nursing homes in the United States. Within these, special care units (SCUs) provide a separate residential and/or activity locus for residents, and are expected to provide more staff time and more specialized staff assignments. This paper addresses a fundamental issue relating to the nature, quality and quantity of resident care inputs: what impacts of SCUs are associated with added service inputs, and thus with personnel costs, recognizing that personnel account for the majority of costs associated with nursing home care? Aims of the study: The aim of this aspect of the study was to determine the extent to which additions of staff would result in a diminution of deviant behaviors among residents of special care and of traditional care units. Method: The data were collected from a random sample of ten downstate nursing homes located in New York State. Using rigorous sampling procedures, random samples of 40 residents were drawn from each of the facilities, equally divided between special care unit and traditional care unit residents. Thus, the sampling design involved two levels of clustering: subjects were clustered within units and units were clustered within facilities. The observational behaviour measure was taken from the INCARE (institutional version of the Comprehensive Assessment and Referral Evaluation). The behavioral observation measure contains 23 items such as 'disruptive of others', 'picks/pulls clothing', 'repetitive movements', 'repetitive questioning' and 'wandering'. Each item is rated as to frequency of occurrence; ratings are collected on three occasions, and averaged. Outcome and covariate data (e.g., behavior and cognition) were collected by trained research staff who visited each site for three to four weeks of intensive data collection, accomplished through direct resident interviews, staff interviews and questionnaires and chart data abstraction. The clinical staff time data were collected using the InfoAide system, whereby each care provider used a portable barcode scanner to record the type of care given, the recipient and the duration of care.A random effects model using the SAS mixed procedure was applied to the data; adhering to this model, some effects were fixed and some random. The random effects were comprised of the subject (intercept or subject starting point at baseline) and the

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“…Of the eighteen instruments under study, fifteen were designed specifically for the elderly: The Dept. of HEW 1974); the Sandoz Clinical Assessment-Geriatric, SCAG (Goga & Hambacher 1977); its derivative, the Self Assessment Scale Geriatric, SASG (Yesavage et al 1981); the Stockton Geriatric Rating Scale, SGRS (Meer & Baker 1966); Pluchek's Geriatric Rating Scale, GRS (Smith et al 1977); its shorter alternative the Parachek Geriatric Behavior Rating Scale, GBRS (Miller & Parachek 1974); the Comprehensive Assessment and Referral Evaluation, CARE (Gurland et al 1977-78); and the Physical and Mental Impairment of Function Evaluation in the Aged, PAMIE (Gurel et al 1972). …”

Section: Instruments Commonly Associated With Geriatric Assessmentmentioning

confidence: 99%

The placement information base: its utility and meaning for nursing home placement decisions

McKenzie¹

2000

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The State of Oregon is using the Placement Information Base, PIB, as part of an assessment process to determine the type of placement needed by Medicaid clients. While used for functional assessment, PIB has not been empirically studied for its use as a screening or predictive instrument to differentiate between the need for nursing home care and community care.This dissertation addresses the question of whether PIB is suitable for use as a screening instrument for nursing home placement

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The Comprehensive Assessment and Referral Evaluation (Care)—Rationale, Development and Reliability

Cited by 276 publications

References 8 publications

Investigações epidemiológicas sobre demência nos países em desenvolvimento

Investigações epidemiológicas sobre demência nos países em desenvolvimento

Service inputs and costs of care related to outcomes among cognitively impaired nursing home residents

The placement information base: its utility and meaning for nursing home placement decisions

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