Développement d'un outil d'évaluation du statut fonctionnel pour les personnes âgées en visite à l'urgence

摘要: There are few tools designed to help emergency department (ED) staff make clinical decisions regarding patient disposition following an ED visit. In response this shortcoming, the present doctoral thesis aims develop and validate assessment tool of functional status for older adults visiting ED. Specific objectives will be document practices in ED, detai1 development steps to01 evaluate sorne its Psychometric properties. At very beginning study, information was scarce about Therefore, as a pre1iminary step inyentory made content collected to01s analysed. ResuIts showed huge diversity domain coverage between tools. None covered aIl relevant domains applicability didn't meet requirements. Occupational therapist's (OTs) professional practice also explored with survey conducted among OTs province Quebec. Results confirmed that work mostly ED; they assess diverse areas functioning, 75% them using in-house Respondents stressed need better practice. The methodology based on stages described by Benson Clark (1982), combined suggested Kielhofner (2006). planning stage included identification need, objectives, targeted population domains, weIl construction specification table. Construction comprised developing initial pool items reviewing group experts. evaluation stage, prototype piloted 23 subjects rating scales were subsequently revised. Finally, validation item analysis. Item analysis sample 150 subjects. Three measurement properties considered relevant: applicability, interrater. reliability responsiveness. Criteria related these established classify