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  1. Development of a modified Winchester disability scale-the elderly at risk rating scale.

    Article - En anglais


    To show that the elderly at risk rating scale (EARRS) satisfies the requirements of an assessment tool for routine health checks in people over 75 and would also be suitable as a method of collecting epidemiological data on the needs of the elderly in a locality.

    Design-Development and validation of a questionnaire based on a modification of the Winchester rating scale, by a series of prospective, comparative studies before the use of the instrument in a community survey.

    Setting-Elderly care day hospital and the community.

    Subjects-Elderly patients referred to an elderly care day hospital ; population survey of subjects over 75 living at home.

    Main outcome measures-Reliability of responses using the kappa statistic ; comparison of the scale with the Barthel index of daily living.


    EARRS has satisfactory validity and reliability when repeated by the same observer or a different observer, with a mean weighted kappa score above 0.80 in both instances.

    As a measure of disability in the community, it is better than the Barthel score in that it avoids the ceiling effect.

    The score is correlated with age, social situation, and receipt of support services, and individual questions scale appropriately to adverse outcomes. (...)

    Mots-clés Pascal : Handicap, Echelle évaluation, Estimation paramètre, Risque, Autonomie, Epidémiologie, Evaluation, Méthode mesure, Vieillard, Homme, Royaume Uni, Europe

    Mots-clés Pascal anglais : Handicap, Evaluation scale, Parameter estimation, Risk, Autonomy, Epidemiology, Evaluation, Measurement method, Elderly, Human, United Kingdom, Europe

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0515357

    Code Inist : 002B30A01A1. Création : 13/02/1998.