Development and testing of the Geriatric Care Assessment Practices (G-CAP) survey

BMC Geriatrics

Paul Holyoke¹  Paul Stolee²  Justine L. Giosa³ 

[1] SE Research Centre, SE Health, 90 Allstate Parkway, Suite 300, L3R 6H3, Markham, ON, Canada;School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, ON, Canada;School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, ON, Canada;SE Research Centre, SE Health, 90 Allstate Parkway, Suite 300, L3R 6H3, Markham, ON, Canada;

关键词: Assessment;    Home care;    Older adult;    Survey;    Interdisciplinary;    interRAI;    RAI-HC;    Nurse;    Occupational therapist;    Physiotherapist;   

DOI  :  10.1186/s12877-021-02073-5

来源: Springer

【 摘 要 】

BackgroundWhile the Resident Assessment Instrument-Home Care (RAI-HC) tool was designed to support comprehensive geriatric assessment in home care, it is more often used for service allocation and little is known about how point-of-care providers collect the information they need to plan and provide care. The purpose of this pilot study was to develop and test a survey to explore the geriatric care assessment practices of nurses, occupational therapists (OTs) and physiotherapists (PTs) in home care.MethodsLiterature review and expert consultation informed the development of the Geriatric Care Assessment Practices (G-CAP) survey—a 33 question, online, self-report tool exploring assessment and information-sharing methods, attitudes, knowledge, experience and demographic information. The survey was pilot tested at a single home care agency in Ontario, Canada (N = 27). Test-retest reliability (N = 20) and construct validity were explored.ResultsThe subscales of the G-CAP survey showed fair to good test-retest reliability within a population of interdisciplinary home care providers [ICC2 (A,1) (M ICC = 0.58) for continuous items; weighted kappa (M kappa = 0.63) for categorical items]. Statistically significant differences between OT, PT and nurse responses [M t = 3.0; M p = 0.01] and moderate correlations between predicted related items [M r = |0.39|] provide preliminary support for our hypotheses around survey construct validity in this population. Pilot participants indicated that they use their clinical judgment far more often than standardized assessment tools. Client input was indicated to be the most important source of information for goal-setting. Most pilot participants had heard of the RAI-HC; however, few used it. Pilot participants agreed they could use assessment information from others but also said they must conduct their own assessments and only sometimes share and rarely receive information from other providers.ConclusionsThe G-CAP survey shows promise as a measure of the geriatric care assessment practices of interdisciplinary home care providers. Findings from the survey have the potential to inform improvements to integrated care planning. Next steps include making adaptations to the G-CAP survey to further improve the reliability and validity of the tool and a broad administration of the survey in Ontario home care.

【 授权许可】

CC BY