دورية أكاديمية
[Primary care screening of problems in the elderly and a proposal for a screening protocol with a multidimensional approach].
العنوان: | [Primary care screening of problems in the elderly and a proposal for a screening protocol with a multidimensional approach]. |
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عنوان ترانسليتريتد: | Rastreamento de problemas de idosos na atenção primária e proposta de roteiro de triagem com uma abordagem multidimensional. |
المؤلفون: | Lino VT; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Portela MC; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Camacho LA; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Rodrigues NC; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil., Andrade MK; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.; Centro de Estudos e Pesquisas do Envelhecimento do Rio de Janeiro, Rio de Janeiro, Brasil., O'Dwyer G; Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. |
المصدر: | Cadernos de saude publica [Cad Saude Publica] 2016 Jul 21; Vol. 32 (7). |
نوع المنشور: | Journal Article |
اللغة: | Portuguese |
بيانات الدورية: | Publisher: Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Country of Publication: Brazil NLM ID: 8901573 Publication Model: Print Cited Medium: Internet ISSN: 1678-4464 (Electronic) Linking ISSN: 0102311X NLM ISO Abbreviation: Cad Saude Publica Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2012->: Rio De Janeiro : Escola Nacional De Saúde Pública, Fundação Oswaldo Cruz Original Publication: Rio de Janeiro : A Escola, |
مواضيع طبية MeSH: | Geriatric Assessment/*methods , Mass Screening/*standards , Primary Health Care/*standards, Activities of Daily Living ; Aged ; Aged, 80 and over ; Brazil ; Cross-Sectional Studies ; Depression/diagnosis ; Female ; Humans ; Male ; Predictive Value of Tests ; Psychometrics ; Reproducibility of Results ; Self-Assessment ; Sensitivity and Specificity ; Social Support ; Surveys and Questionnaires/standards |
مستخلص: | The objectives were to examine psychometric properties of a screening test for the elderly and to propose a protocol for use in primary care. The method consisted of four stages: (1) inter-evaluator reliability for performance tests and self-assessment questions for eight functions; (2) sensitivity and specificity of questions on depression and social support; (3) meeting of experts to select instrumental activities of daily living (IADL); and (4) elaboration of the protocol. Screening lasted 16 minutes. Inter-evaluator reliability was excellent for performance tests but poor for questions. Depression and social support showed satisfactory sensitivity and specificity (0.74/0.77 and 0.77/0.96). Four IADL were selected by more than 55% of the experts. Following the results, a screening protocol was elaborated that prioritized the use of performance tests, maintaining questions on mood, social support, and IADL. The study suggests better reproducibility of performance tests when compared to questions. For mood and social support, the questions may provide a first screening stage. The proposed protocol allows rapid screening of problems. |
تواريخ الأحداث: | Date Created: 20160728 Date Completed: 20170330 Latest Revision: 20170817 |
رمز التحديث: | 20221213 |
DOI: | 10.1590/0102-311X00086715 |
PMID: | 27462847 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1678-4464 |
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DOI: | 10.1590/0102-311X00086715 |