Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system.

BMC Health Services Research
John P HirdesReudi Gilgen

Abstract

A multi-domain suite of instruments has been developed by the interRAI research collaborative to support assessment and care planning in mental health, aged care and disability services. Each assessment instrument comprises items common to other instruments and specialized items exclusive to that instrument. This study examined the reliability of the items from five instruments supporting home care, long term care, mental health, palliative care and post-acute care. Paired assessments on 783 individuals across 12 nations were completed within 72 hours of each other by trained assessors who were blinded to the others' assessment. Reliability was tested using weighted kappa coefficients. The overall kappa mean value for 161 items which are common to 2 or more instruments was 0.75. The kappa mean value for specialized items varied among instruments from 0.63 to 0.73. Over 60% of items scored greater than 0.70. The vast majority of items exceeded standard cut-offs for acceptable reliability, with only modest variation among instruments. The overall performance of these instruments showed that the interRAI suite has substantial reliability according to conventional cut-offs for interpreting the kappa statistic. The results indicate ...Continue Reading

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Citations

Jun 17, 2009·Healthcare Management Forum·Lynn Martin, John P Hirdes
Jun 29, 2011·Journal of Sex & Marital Therapy·Lynn MartinJohn P Hirdes
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Methods Mentioned

BETA
MDS

Software Mentioned

interRAI
SNOMED
CT

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