KMID : 0828520130170010018
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Journal of the Korean Geriatrics Society 2013 Volume.17 No. 1 p.18 ~ p.27
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Development of Korean Comprehensive Assessment Tools for Ambulatory Care, and a Test of its Validity and Reliability
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Cho Be-long
Son Ki-Young Oh Bum-Jo Kim Seok-Joong Kwon In-Soon Park Byung-Joo Sunwoo Duk Yoon Jong-Lull Won Chang-Won Hwang Hwan-Sik Ga Hyuk
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Abstract
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Background: The purpose of this study was to develop and to evaluate the applicability of the Korean comprehensive geriatric assessment tools through reliability and validity testing.
Methods: We developed standard and short-form assessment tools comprised of questionnaires on medical, functional, mental, socioeconomic status and lifestyle information and functional tests. The tools were administered as test-retest on 111 elderly outpatients at four university hospitals and two welfare centers in Seoul. Weighted kappa value, kappa value, Pearson¡¯s correlation coefficients and overall percent agreement were calculated to evaluate reliability. Validity coefficient was estimated by using the reliability coefficient.
Results: Reliability and validity coefficients were higher than 0.50 (fair or good) for 29 of 36 items. For test-retest reliability, the median was 0.66 (range, 0.29 to 1.00) for the kappa value and 0.83 (range, 0.53 to 1.00) for the Pearson¡¯s correlation coefficients. Compared to the standard form, the short-form assessment questionnaires showed to be reliable and valid.
Conclusion: The Korean Comprehensive Assessment Tools, both the standard form and the short form, were shown to be a reliable and valid screening medium for assessing the health status of the elderly in the ambulatory care setting. These instruments can be used conveniently for comprehensive outpatient geriatric assessment.
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KEYWORD
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Geriatric assessment, Outpatient clinics, Questionnaires, Reliability, Validity
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