A community needs assessment: The care needs assessment pack fordementia (CarenapD) - Its development, reliability and validity. 13(1).
G. McWalter
Bok Engelsk 1998
| Utgitt | 1998
|
|---|---|
| Omfang | Side 16- 22
|
| Opplysninger | Objective. To develop and evaluate a multidisciplinary needsassessment tool for people with dementia living in the community andtheir carers.Design. The measure was developed through applying a theory of need,generating content, consultation with potential users and refinementand evaluation, Validity was established incrementally through thedevelopment process,Setting. The development and evaluation was conducted in a variety ofsettings, including multidisciplinary dementia community care teams,social work departments, day hospitals, and inpatient and residentialcare.Patients. The evaluation included community patients with a formaldiagnosis of dementia (N = 34) and consultation with amultidisciplinary group of potential users (N = 23). The developmentprocess included inpatients with a formal diagnosis of dementia (N =157) and consultation with potential users (A: = 170) from a range ofprofessions including both health and social cars.Measures. Interrater reliability was assessed using the kappastatistic. Social validity was estimated using a measure developedfar this purpose as part of the development process,Results. The evaluation of interrater reliability demonstrated thatthree-quarters of assessors agreed on at least 85% of items in theCarenapD. The kappa statistic demonstrated that agreement for 76.2%of items in the CarenapD was 'good' or better tie kappa >0.75), for12.4% of items it was 'fair' or 'moderate' tie kappa 0.35-0.60) andfor the remaining 12 (11.4%) items for which kappa could not becalculated there was low intra-item variance and high agreement(>90%). There was good evidence for social validity.Conclusions, The CarenapD is a reliable and valid multidisciplinaryassessment of need for people with dementia living in the communityand their carers. (C) 1998 John Wiley & Sons, Ltd.
|
| Emner |
