Development of multi-disciplinary team I-ADL assessment in community health care: an interrater reliability study of the measure of instrumental daily activity
Author
Summary, in English
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.
Publishing year
1999
Language
English
Pages
149-163
Publication/Series
Archives of Gerontology and Geriatrics
Volume
29
Issue
2
Document type
Journal article
Publisher
Elsevier
Topic
- Occupational Therapy
Keywords
- Geriatrics
- Home-help service
- Home rehabilitation
- Interrater reliability
- Occupational therapy
Status
Published
Research group
- Sustainable occupations and health in a life course perspective
ISBN/ISSN/Other
- ISSN: 1872-6976