Journal Article

Development of integrated care tool - BRIEF for screening the unmet psychosociomedical needs of older Indians

Kumar, Deepa, Dey, Aparajit, Dwivedi, Sada, Rebok, George, Chatterjee, Prasun, Madan, Ruchika

2019

Overview

Background: With demographic shifts, there is an unprecedented increase in noncommunicable diseases, multimorbidity, and geriatric syndromes among older adults, especially in economically weaker sectors. However, there is no socioculturally appropriate tool to screen older adults for age-related health needs, multimorbidity, and geriatric syndromes at their doorstep. Objective: Our objective was to create a self-assessment tool, \"integrated care tool\" (ICT), and to assess its psychometric properties by applying it on older adults from multiple settings such as hospital, community, and old-age home (assisted living services). Methods: new questionnaire was developed using standardized procedure including item development, pilot testing, and psychometric validation. After obtaining the institutional ethics committee clearance, data were collected from consenting respondents attending the Outpatient Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, community settings through health camps, and long-term care center, between May 2016 and February 2017. Data were computerized and analyzed by principal component analysis as extraction method and orthogonal varimax as rotation method. Results: The final 30-item questionnaire was arranged into various domains as per rotated component matrix analysis. Overall internal consistency of the final questionnaire, as calculated by Cronbach's alpha, was 0.79, and the measure of sampling adequacy was 0.79. Conclusion: ICT-BRIEF is a simple, self-assessment/caregiver-assisted tool to screen the health needs of older adults. This tool can be validated for developing risk score and scaled up to generate a large database to create elderly centered care plans.

• Publisher: Wolters Kluwer India Pvt. Ltd,Medknow Publications and Media Pvt. Ltd,Medknow Publications & Media Pvt. Ltd,Wolters Kluwer Medknow Publications
• Subject: Active aging / Activities of daily living / Adequacy / Adult abuse & neglect / Adults / Age / Aged / Aged, 80 and over / Aging / Aging - physiology / Analysis / Assisted living facilities / Communities / Cross-Sectional Studies / Cultural Competency / Demographics / Diagnostic Self Evaluation / Disorders / Elder Abuse - diagnosis / Female / Geriatric Assessment - methods / Geriatrics / Health aspects / Health Status / Hospitals / Humans / intrinsic capacity / Long-term care / Male / Matrix methods / Medical sciences / Mental Health / Middle Aged / Older people / Personal Satisfaction / Polls & surveys / Principal components analysis / Psychometrics / Public health / Quantitative psychology / Questionnaires / Reproducibility of Results / Self evaluation / self-assessment tool / Social Participation / Social research / Socioeconomic Factors / Surveys and Questionnaires - standards