Targeted Geriatric Assessment for Fast-Paced Healthcare Settings: Development, Validity, and Reliability

Journal of the American Geriatrics Society
Márlon J R AlibertiWilson Jacob-Filho

Abstract

To develop and examine the validity and reliability of a targeted geriatric assessment (TaGA) for busy healthcare settings. The TaGA was developed through the consensus of experts (Delphi technique), and we investigated its construct validity and reliability in a cross-sectional study. Geriatric day hospital specializing in acute care in Brazil. Older adults (N = 534) aged 79.5 ± 8.4, 63% female, consecutively admitted to the geriatric day hospital. The Frailty Index (FI), Physical Frailty Phenotype, and Identification of Seniors at Risk (ISAR) were used to explore the TaGA's validity. External scales were used to investigate the validity of each matched TaGA domain. The interrater reliability and time to complete the instrument were tested in a 53-person subsample. In 3 rounds of opinion, experts achieved consensus that the TaGA should include 10 domains (social support, recent hospital admissions, falls, number of medications, basic activities of daily living, cognitive performance, self-rated health, depressive symptoms, nutritional status, gait speed). They arrived at sufficient agreement on specific tools to assess each domain. A single numerical score from 0 to 1 expressed the cumulative deficits across the 10 domains. Th...Continue Reading

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Oct 21, 2016·Journal of the American Geriatrics Society·Márlon J R AlibertiWilson Jacob-Filho
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Citations

Sep 15, 2019·Current Diabetes Reports·Kristen DeCarlo, Amisha Wallia
May 6, 2019·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Márlon J R AlibertiWilson Jacob-Filho
Dec 6, 2018·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Giola SantoniLaura Fratiglioni
Nov 6, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Paula Cristina Eiras PocoThiago Junqueira Avelino-Silva
Oct 29, 2020·BMC Geriatrics·Marcos Daniel SaraivaWilson Jacob-Filho
Apr 6, 2021·Journal of the American Geriatrics Society·Márlon Juliano Romero AlibertiUNKNOWN COVID HCFMUSP Study Group

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