Occupational therapists frequently assess functional status (FS) to determine the home care (HC) service requirements of older adults. However, it is unclear which type of FS measure is most effective for this purpose.
Purpose.
This study investigated the predictive ability of three measures of FS (a self-report measure of usual behaviour, a self-report measure of capacity, and an observational performance measure—the Performance Assessment of Self-Care Skills [PASS]) on formal HC utilization.
Method.
A secondary analysis of 2001 Aging in Manitoba Longitudinal Study (AIM) data was conducted.
Findings.
The odds of receiving HC within the 30-month follow-up period were 1.32 times (or 30%) higher for each increase in the number of dependent tasks based upon a standardized performance measure. The self-report measures did not predict HC utilization.
Implications.
This study suggests that standardized performance measures—in particular, the PASS—are more predictive of formal HC use in community-dwelling older adults than self-report measures.
Description.
Les ergothérapeutes évaluent fréquemment les capacités fonctionnelles des aînés en vue de déterminer leurs exigences en matière de services de soins à domicile. Cependant, on ne sait pas clairement quel type de mesure des capacités fonctionnelles est le plus efficace à cette fin.
But.
Cette étude se penchait sur la valeur prédictive de trois mesures des capacités fonctionnelles pour évaluer l’utilisation des soins à domicile formels (un instrument d’autoévaluation du comportement habituel, un instrument d’autoévaluation de la capacité et une mesure du rendement fondée sur l’observation—le Performance Assessment of Self-Care Skills [PASS]).
Méthodologie.
Une analyse secondaire des données de l’étude longitudinale 2001 Aging in Manitoba (AIM) a été effectuée.
Résultats.
Les possibilités de recevoir des soins à domicile sur la période de suivi de 30 mois étaient 1,32 fois (ou 30 %) plus élevées pour chaque augmentation du nombre de tâches dépendantes basées sur une mesure du rendement standardisée. Les instruments d’autoévaluation n’ont pas permis de prédire l’utilisation des soins à domicile.
Conséquences.
Cette étude suggère que les mesures du rendement standardisées—en particulier le PASS—ont une meilleure valeur prédictive de l’utilisation des soins à domicile formels chez les aînés vivant dans la collectivité que les instruments d’autoévaluation.
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