To develop and evaluate a multidisciplinary needs assessment tool for people with dementia living in the community and their carers.
The measure was developed through applying a theory of need, generating content, consultation with potential users and refinement and evaluation.
Validity was established incrementally through the development process.
The development and evaluation was conducted in a variety of settings, including multidisciplinary dementia community care teams, social work departments, day hospitals, and inpatient and residential care.
The evaluation included community patients with a formal diagnosis of dementia (N=34) and consultation with a multidisciplinary group of potential users (N=23).
The development process included inpatients with a formal diagnosis of dementia (N=157) and consultation with potential users (N=170) from a range of professions including both health and social care.
Interrater reliability was assessed using the kappa statistic.
Social validity was estimated using a measure developed for this purpose as part of the development process.
The evaluation of interrater reliability demonstrated that three-quarters of assessors agreed on at least 85% of items in the CarenapD.
The kappa statistic demonstrated that agreement for 76.2% of items in the CarenapD was'good'or better (ie kappa>0.75), for 12.4% of items it was'fair'or'moderate'. (...)
Mots-clés Pascal : Besoin, Service santé, Santé communautaire, Démence, Méthode mesure, Evaluation, Fidélité test, Accord interjuge, Validation test, Royaume Uni, Europe, Psychométrie, Vieillard, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Maladie dégénérative, Care Needs Assessment Pack for Dementia McWalter et al
Mots-clés Pascal anglais : Need, Health service, Community health, Dementia, Measurement method, Evaluation, Test reliability, Interrater agreement, Test validation, United Kingdom, Europe, Psychometrics, Elderly, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0097041
Code Inist : 002B18B01. Création : 22/06/1998.