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An evaluation of assessment tools used for older people with complex health and social care needs
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2007
- Pagination:
- 30p., bibliog.
- Place of publication:
- Belfast
This study examined current assessment instruments used in Northern Ireland used to assess the abilities and needs of older people. To instruments general applicability according to accreditation principles outlined as good practice by the Department of Health were examined. The coverage of the instruments according to the nine domains and 40 sub-domains of the National Service Framework for Older people were also examined. Eleven instruments were received from all Trusts providing community health and social care services. The instruments were then analysed looking at areas of good practice and the domains of assessment. Findings include: general assessment did not capture the perceptions of an older person regarding their health and social care needs or how their quality of life is affected by loss of ability; the level of participation by the older person in their assessment was unclear; considerable variability in the level of coverage of all nine domains within different Trust documentation. The findings support the necessity for to develop a standardized instrument; standardized on the level of assessment on each domain and standardized across all trusts.
The usability of the Northern Ireland single assessment tool for the health and social care of older people
- Author:
- MCCORMACK B.
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 30p., bibliog.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed for the National Service Framework for Older People. This comprised of three stands (Contact Screening, Core and Complex Assessment) supported by a number of specialists assessments (such as G.P assessment, Carers assessment, Specialist Assessment Summary). The NISAT was developed through a participatory process of engagement with front-line staff, and had acceptable psychometric properties. This study examined users options regarding the usability of the three components of the NISAT and invited comments on how best to implement training across the province. Assessors were given the opportunity to use the NISAT with a purposive sample of older people. The findings informed discussion with assessors regarding training, its structure, contents and format.
The reliability of the core element of the Northern Ireland single assessment tool (NISAT) for the health and social care of older people
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 26p., bibliog.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed to address the assessment process as highlighted in the NSF for Older People. The NISAT consists of three main parts: the Contact Screening; the Core NISAT; and the Complex NISAT. The Core assessment consists of eight domains covering all areas of the older people's life - mental health; communication and sensory functioning; personal care and daily tasks; mobility and movement; awareness and decision making; accommodation and living arrangements; employment, finance and leisure; and physical health and medication. This study used case studies with a purposive sample of trained assessors to determine the inter-rater reliability of the Core NISAT. The study aimed to: determine the reliability (percentage agreement) of quantitative measures between assessors; determine the statistical significance of the quantitative measures; and determine the overall reliability of the Core NISAT. A sample of twenty seven assessors participated in the study. The quantitative findings from each of the 27 completed assessments for each case study were analysed. Overall there was a high level of inter-rater reliability on the quantitative measures contained in the core NISAT. This high inter-rater reliability was consistent across each domain and in each case study. It can be concluded from the findings that the core NISAT is reliable as a measure of older peoples’ needs and abilities.
Evaluating the Ohio elder abuse and domestic violence in late life screening tools and referral protocol
- Authors:
- EJAZ Farida K., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 13(1), 2001, pp.39-57.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article describes the evaluation processes employed in the USA to develop and test screening tools and referral protocols elder abuse and domestic violence. Three focus groups and a roundtable of experts were utilised to develop the materials in the first year. In the second year, a formal quantitative evaluation that involved 160 practitioners in Ohio was implemented to review the materials and to use them with clients. Findings form the quantitative evaluation were incorporated to make changes that led to a final document that was much simpler, less lengthy, and more relevant to beginning practitioners.
Fighting depression
- Author:
- EMMERSON Catherine
- Journal article citation:
- Nursing Times, 22.4.92, 1992, pp.60-62.
- Publisher:
- Nursing Times
Outlines an example of short term group work with elderly depressed people; describes assessment using psychometric measurement scales and formal evaluation methods.
Who needs assessment?
- Authors:
- GIBBS I., BRADSHAW J.
- Journal article citation:
- Concern, 1987, p.24.
- Publisher:
- National Children's Bureau
Short report on research into assessment of clients' needs when admitted to residential care.
The face validity and clinical utility of the Activity Card Sort – United Kingdom (ACS-UK)
- Author:
- LAVER-FAWCETT Alison
- Journal article citation:
- British Journal of Occupational Therapy, 79(8), 2016, pp.492-504.
- Publisher:
- Sage
Introduction: The Activity Card Sort – United Kingdom version is a self-report interview assessment requiring older adults to sort activity photograph cards to evaluate their levels of participation. The face validity and clinical utility of the activity card sort – United Kingdom were explored. Method: The sample comprised 27 community dwelling older adults (>65 years) and eight assessors. The Activity Card Sort – United Kingdom was administered, followed by a semi-structured interview to explore participants' opinions and experiences of undertaking the assessment. Time taken to administer and score was measured. Results: Mean administration and scoring time was 14 minutes and 30 seconds, which was considered reasonable by older people and assessors. The majority of participants found the Activity Card Sort – United Kingdom straightforward, easy to do and considered activities and activity labels clear. All participants considered that photographs looked like the activities they were depicting. Participants made recommendations which have led to some improvements to the assessment. Conclusion: The Activity Card Sort – United Kingdom has good clinical utility in terms of ease of use and time required for administering and scoring the assessment. Face validity, in terms of acceptability, was good, but more detailed instructions in the manual will be required to guide therapists on how to explain the purpose of the assessment to clients. (Publisher abstract)
Development and validation of the short form of the Brief Cognitive Assessment Tool (BCAT-SF)
- Authors:
- MANSBACH William E., MACDOUGALL Elizabeth E.
- Journal article citation:
- Aging and Mental Health, 16(8), November 2012, pp.1065-1071.
- Publisher:
- Taylor and Francis
Many of the screening tools now available to assess cognitive functioning are considered to require too much time to administer. This article describes the development and validation of a short form of the Brief Cognitive Assessment Tool (BCAT), the BCAT-SF. It presents a comparison of the evidence for the reliability and validity of the scores from the original and short forms of the BCAT. One hundred four older adults referred for neuropsychological evaluation participated in a study. To ensure content validity, the six items selected represented the cognitive domains of contextual memory, executive functioning, and attention. Psychometric analyses confirmed strong evidence of reliability, construct validity, and predictive validity. The BCAT-SF differentiated between mild cognitive impairment and dementia. Furthermore, the BCAT-SF predicted instrumental and basic activities of daily living. The BCAT-SF can be administered in three to four minutes, is easily administered, and is cost-effective. In addition, preliminary evidence finds the BCAT-SF to be psychometrically robust.
The validity of the core element of the Northern Ireland single assessment tool (NISAT) for the health and social care of older people
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2007
- Pagination:
- 55p.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed to address the assessment process as highlighted in the NSF for Older People. The NISAT consists of three main parts: the Contact Screening; the Core NISAT; and the Complex NISAT. The Core assessment consists of eight domains covering all areas of the older people's life - mental health; communication and sensory functioning; personal care and daily tasks; mobility and movement; awareness and decision making; accommodation and living arrangements; employment, finance and leisure; and physical health and medication. Each domain is measure using a combination of qualitative and quantitative measures. This study aimed to develop and test a measure of validity that incorporates both qualitative and quantitative measures. Assessors were trained how to use the draft NISAT instrument. The theoretical definition given to each domain was then rated against the assessors own views. All professional groups felt the core NISAT was valid. The findings did highlight the need for tailored and individualized training programmes n the use of the instrument. Appendices include sample instructions and scoring sheets for two domains.
The reliability of the complex element of the Northern Ireland single assessment tool for the health and social care of older people
- Authors:
- MCCORMACK B.G., et al
- Publisher:
- Northern Ireland. Department of Health, Social Services and Public Safety
- Publication year:
- 2008
- Pagination:
- 34p.
- Place of publication:
- Belfast
The Northern Ireland Single Assessment Tool (NISAT) was developed to address the assessment process as highlighted in the NSF for Older People. The NISAT consists of three main parts: the Contact Screening; the Core NISAT; and the Complex NISAT. This study involved examining the reliability of information collected using the complex assessment instrument of the NISAT. Two measures were calculated: the ability of assessors to identify the themes contained in case studies; and the total number of themes identified by each assessor to provide information on the comprehensiveness of the assessments. A summary of results by case study are presented. Key findings supported the reliability of the complex NISAT; identified variability in the assessors’ ability to identify the themes/measures; highlight areas for potential modification; and identified assessors desire for comprehensive training and clear guidance on the correct way to complete the Complex NISAT. The study confirmed the reliability of the Complex NISAT and the use of case studies in the development and testing of assessment tools, especially in the healthcare setting. Appendices include details of the three case studies used.