Description and validation of a geriatric multidimensional graphical instrument for promoting longitudinal evaluation

Lorenzo Pascazio, Pierluigi Morosini, Stefano Bembich, Ilaria Nardone, Andrea Clarici, Lionello Barbina, Ranieri Zuttion, Antonella Gigantesco

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The debate about the adoption of standard multidimensional geriatric assessment instruments is mainly due to the lack of consensus on the feasibility and requirements for such instruments by both the health and the social care professions. A tool called ValGraf was developed in the attempt to give an original answer to these and other controversial issues. The aim of this study was to evaluate the ValGraf for acceptability, concurrent validity and factorial structure. The functional and cognitive impairments as ascertained by the ValGraf were compared with Katz index and Folstein's Mini Mental State Examination (MMSE). Subjects (N = 210) of four nursing homes were assessed by two independent teams of nurses. The factorial validity study involved 8280 subjects living in nursing homes. Assessments were conducted throughout the 2001 by 20 geriatricians. The agreement between the ValGraf sections concerning independence in daily living and Katz's index was almost total (r = 0.96) and that between ValGraf items on cognition and MMSE was very good (0.73). Factor analysis revealed that 13 coherent factors explained 53% of total variance. ValGraf was proved to be acceptable and comprehensive, criterion valid, at least as daily activities and cognitive status are concerned, and to have a coherent factorial structure.

Original languageEnglish
Pages (from-to)317-324
Number of pages8
JournalArchives of Gerontology and Geriatrics
Volume48
Issue number3
DOIs
Publication statusPublished - May 2009

Fingerprint

geriatrics
nursing home
Nursing Homes
Geriatrics
geriatric assessment
Geriatric Assessment
examination
evaluation
Cognition
Statistical Factor Analysis
cognition
factor analysis
Consensus
nurse
profession
Nurses
Delivery of Health Care
lack
health
Geriatricians

Keywords

  • Longitudinal evaluation
  • Multidimensional instrument
  • Quality improvement
  • Validity of ValGraf

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology
  • Health(social science)
  • Gerontology

Cite this

Description and validation of a geriatric multidimensional graphical instrument for promoting longitudinal evaluation. / Pascazio, Lorenzo; Morosini, Pierluigi; Bembich, Stefano; Nardone, Ilaria; Clarici, Andrea; Barbina, Lionello; Zuttion, Ranieri; Gigantesco, Antonella.

In: Archives of Gerontology and Geriatrics, Vol. 48, No. 3, 05.2009, p. 317-324.

Research output: Contribution to journalArticle

Pascazio, Lorenzo ; Morosini, Pierluigi ; Bembich, Stefano ; Nardone, Ilaria ; Clarici, Andrea ; Barbina, Lionello ; Zuttion, Ranieri ; Gigantesco, Antonella. / Description and validation of a geriatric multidimensional graphical instrument for promoting longitudinal evaluation. In: Archives of Gerontology and Geriatrics. 2009 ; Vol. 48, No. 3. pp. 317-324.
@article{b09445d9f4ca40749fcf5184aa062d6b,
title = "Description and validation of a geriatric multidimensional graphical instrument for promoting longitudinal evaluation",
abstract = "The debate about the adoption of standard multidimensional geriatric assessment instruments is mainly due to the lack of consensus on the feasibility and requirements for such instruments by both the health and the social care professions. A tool called ValGraf was developed in the attempt to give an original answer to these and other controversial issues. The aim of this study was to evaluate the ValGraf for acceptability, concurrent validity and factorial structure. The functional and cognitive impairments as ascertained by the ValGraf were compared with Katz index and Folstein's Mini Mental State Examination (MMSE). Subjects (N = 210) of four nursing homes were assessed by two independent teams of nurses. The factorial validity study involved 8280 subjects living in nursing homes. Assessments were conducted throughout the 2001 by 20 geriatricians. The agreement between the ValGraf sections concerning independence in daily living and Katz's index was almost total (r = 0.96) and that between ValGraf items on cognition and MMSE was very good (0.73). Factor analysis revealed that 13 coherent factors explained 53{\%} of total variance. ValGraf was proved to be acceptable and comprehensive, criterion valid, at least as daily activities and cognitive status are concerned, and to have a coherent factorial structure.",
keywords = "Longitudinal evaluation, Multidimensional instrument, Quality improvement, Validity of ValGraf",
author = "Lorenzo Pascazio and Pierluigi Morosini and Stefano Bembich and Ilaria Nardone and Andrea Clarici and Lionello Barbina and Ranieri Zuttion and Antonella Gigantesco",
year = "2009",
month = "5",
doi = "10.1016/j.archger.2008.02.013",
language = "English",
volume = "48",
pages = "317--324",
journal = "Archives of Gerontology and Geriatrics",
issn = "0167-4943",
publisher = "Elsevier Ireland Ltd",
number = "3",

}

TY - JOUR

T1 - Description and validation of a geriatric multidimensional graphical instrument for promoting longitudinal evaluation

AU - Pascazio, Lorenzo

AU - Morosini, Pierluigi

AU - Bembich, Stefano

AU - Nardone, Ilaria

AU - Clarici, Andrea

AU - Barbina, Lionello

AU - Zuttion, Ranieri

AU - Gigantesco, Antonella

PY - 2009/5

Y1 - 2009/5

N2 - The debate about the adoption of standard multidimensional geriatric assessment instruments is mainly due to the lack of consensus on the feasibility and requirements for such instruments by both the health and the social care professions. A tool called ValGraf was developed in the attempt to give an original answer to these and other controversial issues. The aim of this study was to evaluate the ValGraf for acceptability, concurrent validity and factorial structure. The functional and cognitive impairments as ascertained by the ValGraf were compared with Katz index and Folstein's Mini Mental State Examination (MMSE). Subjects (N = 210) of four nursing homes were assessed by two independent teams of nurses. The factorial validity study involved 8280 subjects living in nursing homes. Assessments were conducted throughout the 2001 by 20 geriatricians. The agreement between the ValGraf sections concerning independence in daily living and Katz's index was almost total (r = 0.96) and that between ValGraf items on cognition and MMSE was very good (0.73). Factor analysis revealed that 13 coherent factors explained 53% of total variance. ValGraf was proved to be acceptable and comprehensive, criterion valid, at least as daily activities and cognitive status are concerned, and to have a coherent factorial structure.

AB - The debate about the adoption of standard multidimensional geriatric assessment instruments is mainly due to the lack of consensus on the feasibility and requirements for such instruments by both the health and the social care professions. A tool called ValGraf was developed in the attempt to give an original answer to these and other controversial issues. The aim of this study was to evaluate the ValGraf for acceptability, concurrent validity and factorial structure. The functional and cognitive impairments as ascertained by the ValGraf were compared with Katz index and Folstein's Mini Mental State Examination (MMSE). Subjects (N = 210) of four nursing homes were assessed by two independent teams of nurses. The factorial validity study involved 8280 subjects living in nursing homes. Assessments were conducted throughout the 2001 by 20 geriatricians. The agreement between the ValGraf sections concerning independence in daily living and Katz's index was almost total (r = 0.96) and that between ValGraf items on cognition and MMSE was very good (0.73). Factor analysis revealed that 13 coherent factors explained 53% of total variance. ValGraf was proved to be acceptable and comprehensive, criterion valid, at least as daily activities and cognitive status are concerned, and to have a coherent factorial structure.

KW - Longitudinal evaluation

KW - Multidimensional instrument

KW - Quality improvement

KW - Validity of ValGraf

UR - http://www.scopus.com/inward/record.url?scp=63249088449&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=63249088449&partnerID=8YFLogxK

U2 - 10.1016/j.archger.2008.02.013

DO - 10.1016/j.archger.2008.02.013

M3 - Article

C2 - 18395810

AN - SCOPUS:63249088449

VL - 48

SP - 317

EP - 324

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

SN - 0167-4943

IS - 3

ER -