Functional status of elderly home care users: do subjects, informal and professional caregivers agree?

Details

Serval ID
serval:BIB_11649
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Functional status of elderly home care users: do subjects, informal and professional caregivers agree?
Journal
Journal of Clinical Epidemiology
Author(s)
Santos-Eggimann B., Zobel F., Bérod A.C.
ISSN
0895-4356 (Print)
ISSN-L
0895-4356
Publication state
Published
Issued date
1999
Volume
52
Number
3
Pages
181-186
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Professional or informal proxy respondents are frequently used in surveys when physical or mental health may compromise the ability to participate or the quality of responses. Functional status (Katz activities of daily living [ADL], Lawton instrumental activities of daily living [IADL]) was assessed in a sample of 420 chronically dependent elderly receiving home care. Separate in-person interviews were conducted with subjects, main informal caregivers and professionals coordinating home care. We found substantial agreement (Kappa) particularly between subjects and informal caregivers in all ADL except continence and in all IADL except housekeeping. High levels of agreement were also found for cognitively impaired subjects (Mini-Mental State Examination <24). Disagreement was characterized by more frequent reports of dependence from informal and professional caregivers. Our data suggest that proxy responses by informal caregivers conform with answers provided by subjects but produce slightly higher estimates of dependence and that cognitively impaired elderly living in the community will provide accurate information on their functional status in most cases.
Keywords
Activities of Daily Living, Adult, Aged, Aged, 80 and over, Caregivers, Female, Geriatric Assessment, Health Care Surveys/methods, Health Services for the Aged, Home Care Services, Humans, Male, Middle Aged, Type="Geographic">Switzerland
Pubmed
Web of science
Create date
19/11/2007 13:02
Last modification date
20/08/2019 13:39
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