Occupational therapists are experts at adapting bathroom environments. However, to increase access to services, the algorithm “Préalables aux soins d'hygiène” (French for “Prerequisites for bathing care”) has been developed to be used by trained home health aides to recommend bathroom equipment.
Purpose
The purpose of this study was to assess the criterion validity of the algorithm by measuring the level of agreement between an occupational therapist's recommendations (gold standard) and those made by four home health aides using the algorithm.
Methods
Community-living adults with bathing difficulties (n = 96) were visited by both types of evaluators.
Findings
Home health aides correctly identified clinical situations in which they should feel confident about their ability (sensitivity: 96%, specificity: 69%) and, apart from type of bathing seat (Kw = 0.63 [0.52; 0.75]), agreement between recommendations varied from substantial to almost perfect (△≥0.72).
Implications
Results increase confidencein the algorithm, but other studies are needed to ensure population safety and fulfil the occupational therapist's obligations.
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