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Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity

Persson, M; Nilsson, S and Iwarsson, Susanne LU (1999) In Archives of Gerontology and Geriatrics 29(2). p.149-163
Abstract
This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for communication among staff members of different professions was available. The specific aim was to test a new I-ADL instrument for interrater reliability. The developmental process resulting in the Measure of Instrumental Daily Activity (MIDA) is described. The instrument comprises 12 I-ADL items, defined on the basis of practical home... (More)
This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for communication among staff members of different professions was available. The specific aim was to test a new I-ADL instrument for interrater reliability. The developmental process resulting in the Measure of Instrumental Daily Activity (MIDA) is described. The instrument comprises 12 I-ADL items, defined on the basis of practical home rehabilitation experience. The study involved 36 clients with impairments, aged 65+ years. Multi-disciplinary interrater reliability was tested by 67 parallel independent assessments during a 3-month period, performed by pairs of raters of different professions. Overall agreement was very good (mean weighted kappa=0.89). The MIDA fulfils the basic requirements necessary for valid I-ADL assessment of elderly clients in community health care. An important quality is the active involvement of all staff in the assessment procedure, facilitating and stimulating the implementation of a general rehabilitative attitude in everyday practice. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Geriatrics, Home-help service, Home rehabilitation, Interrater reliability, Occupational therapy
in
Archives of Gerontology and Geriatrics
volume
29
issue
2
pages
149 - 163
publisher
Elsevier
external identifiers
  • pmid:15374068
  • scopus:0032885558
ISSN
1872-6976
DOI
10.1016/S0167-4943(99)00029-1
language
English
LU publication?
yes
id
1e3332c6-362a-45fc-8ee5-0f03bf5f4d7b (old id 1114788)
date added to LUP
2008-07-04 16:29:59
date last changed
2017-01-01 06:57:07
@article{1e3332c6-362a-45fc-8ee5-0f03bf5f4d7b,
  abstract     = {This paper describes a development process concerning the active involvement of staff of different professions in developing and implementing methods for assessment of activities of daily living (ADL) in home-based geriatric rehabilitation. Although a variety of established ADL instruments exist, at the time for this study no I-ADL (Instrumental Activities of Daily Living) instrument suitable for communication among staff members of different professions was available. The specific aim was to test a new I-ADL instrument for interrater reliability. The developmental process resulting in the Measure of Instrumental Daily Activity (MIDA) is described. The instrument comprises 12 I-ADL items, defined on the basis of practical home rehabilitation experience. The study involved 36 clients with impairments, aged 65+ years. Multi-disciplinary interrater reliability was tested by 67 parallel independent assessments during a 3-month period, performed by pairs of raters of different professions. Overall agreement was very good (mean weighted kappa=0.89). The MIDA fulfils the basic requirements necessary for valid I-ADL assessment of elderly clients in community health care. An important quality is the active involvement of all staff in the assessment procedure, facilitating and stimulating the implementation of a general rehabilitative attitude in everyday practice.},
  author       = {Persson, M and Nilsson, S and Iwarsson, Susanne},
  issn         = {1872-6976},
  keyword      = {Geriatrics,Home-help service,Home rehabilitation,Interrater reliability,Occupational therapy},
  language     = {eng},
  number       = {2},
  pages        = {149--163},
  publisher    = {Elsevier},
  series       = {Archives of Gerontology and Geriatrics},
  title        = {Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity},
  url          = {http://dx.doi.org/10.1016/S0167-4943(99)00029-1},
  volume       = {29},
  year         = {1999},
}