The resident assessment instrument-mental health (RAI-MH): Inter-rater reliability and convergent validity

Hirdes, John P.; Smith, Trevor F.; Rabinowitz, Terry; Yamauchi, Keita; Pérez, Edgardo; Telegdi, Nancy Curtin; Prendergast, Peter; Morris, John N.; Ikegami, Naoki; Phillips, Charles D.; Fries, Brant E.

doi:10.1007/bf02287348

Cited by 149 publications

(131 citation statements)

References 16 publications

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…A cut-off score of 3 best identifies persons experiencing at least mild depression [20]. Acceptable levels of internal consistency have been reported in samples of nursing home residents (Cronbach's alpha = 0.69-0.85) [20,21] and inpatient mental health patients (Cronbach's alpha = 0.77) [22].…”

Section: Implications For the Depression Rating Scalementioning

confidence: 99%

“…However, both were associated with the presence of a depression diagnosis and, unlike the GDS, the DRS was unaffected by item non-response. In addition, research on a general adult sample provided evidence of the validity of the DRS in psychiatric hospital settings [22]. Nonetheless, some researchers have argued that further work is required to improve the sensitivity of the DRS for identifying older adults with depression [23].…”

Section: Measurement Of Depressionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS)

et al. 2007

View full text Add to dashboard Cite

Background depression is a major disabling condition among older adults, where it may be under-diagnosed for a number of reasons, including a different presentation for younger people with depression. The Minimum Data Set 2.0 (MDS 2.0) assessment system provides a measurement scale for depression, the Depression Rating Scale (DRS), in addition to other items that may represent depressive phenomenology. Objective the ability of the DRS to predict the presence of new depression diagnoses at follow-up, among hospitalised older adults admitted without depression, is examined. Methods the study sample consists of all persons aged 65 years or more admitted between 1996 and 2003 to a complex continuing care (CCC) bed in Ontario without a recorded depression diagnosis. The sample was restricted to those who remained in hospital for about 3 months (n = 7,818) in order to obtain follow-up assessment information. Logistic regression was used to explore the relationship between admission characteristics (i.e. DRS scale items, other MDS 2.0 items related to DSM-IV criteria for depression) and receipt of a depression diagnosis on the follow-up assessment. Results a new depression diagnosis at follow-up was present in 7.5% of the individuals. The multivariate model predicting depression diagnosis included only the DRS scale, sadness over past roles, and withdrawal from activities. Conclusions the DRS score at admission was predictive of receiving a depression diagnosis on a follow-up assessment among older adults admitted to the CCC. Further, the predictive ability of the DRS is only modestly improved by the addition of other items related to DSM-IV criteria.

show abstract

Section: Implications For the Depression Rating Scalementioning

confidence: 99%

Section: Measurement Of Depressionmentioning

confidence: 99%

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS)

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The ADL scale reflects clinician assessments of patient functioning and daily living skills in six domains: eating, bathing, grooming, dressing, transferring, and toileting. ADLs are used extensively in psychiatric treatment to evaluate the type of care patients require and evaluate care processes and outcomes (Hawes et al 1997;Hirdes et al 2002).…”

mentioning

confidence: 99%

Cross‐Functional Team Processes and Patient Functional Improvement

Alexander

Lichtenstein²,

Jinnett

et al. 2005

Health Services Research

View full text Add to dashboard Cite

Objective. To test the hypothesis that higher levels of participation and functioning in cross-functional psychiatric treatment teams will be related to improved patient outcomes. Data Sources/Study Setting. Primary data were collected during the period 1992-1999. The study was conducted in 40 teams within units treating seriously mentally ill patients in 16 Veterans Affairs hospitals across the U.S. Study Design. A longitudinal, multilevel analysis assessed the relationship between individual-and team-level variables and patients' ability to perform activities of daily living (ADL) over time. Team data were collected in 1992, 1994, and 1995. The number of times patient data were collected was dependent on the length of time the patient was treated and varied from 1 to 14 between 1992 and 1999. Key variables included: patients' ADL scores (the dependent variable); measures of team participation and team functioning; the number of days from baseline on which a patient's ADLs were assessed; and several control variables. Data Collection Methods. Team data were obtained via self-administered questionnaires distributed to staff on the study teams. Additional team data were obtained via questionnaires completed by unit directors contemporaneously with the staff survey. Patient data were collected by trained clinicians at regular intervals using a standard assessment instrument. Principal Findings. Results indicated that patients treated in teams with higher levels of staff participation experienced greater improvement in ADL over time. No differences in ADL change were noted for patients treated in teams with higher levels of team functioning. Conclusions. Findings support our premise that team process has important implications for patient outcomes. The results suggest that the level of participation by the team as a whole may be a more important process attribute, in terms of patient improvements in ADLs, than the team's smooth functioning. These findings indicate the potential appropriateness of managerial interventions to encourage member investment in team processes.

show abstract

“…En 1996, el Comité de Políticas y Planificación de Ontario junto con un consorcio internacional de investigadores, conocidos como interRAI (Resident Assessment Instrument), han investigado en la búsqueda de respuestas frente a los cambios y dificultades existentes en el área de la Salud Mental 17 , surgiendo de este modo el RAIversión de salud mental, un instrumento amplio y estandarizado que permite evaluar a los pacientes en diversas áreas: sintomática, relaciones interpersonales, ámbito laboral, habilidades de la vida diaria, entre otras. Promueve una evaluación centrada en la persona, utilizando las habilidades de observación del clínico e incorporando la información proveniente de múltiples fuentes, tales como preguntas directas al paciente, a los profesionales a cargo, una observación del paciente en el entorno de salud mental y la revisión de los documentos disponibles En Chile, se comenzó a utilizar este instrumento el año 2005: en el Hospital del Salvador: se llevó a cabo un estudio piloto, aplicando el instrumento a pacientes hospitalizados y de Hospital Día, con una muestra de 25 pacientes en cada lugar.…”

Section: Análisis Comparativo De Dos Instrumentos De Evaluación Clíniunclassified

Análisis comparativo de dos instrumentos de evaluación clínica: OQ-45 e InterRAI- Salud Mental

Lara¹,

Cruz

Vacarezza³

et al. 2008

Rev. chil. neuro-psiquiatr.

View full text Add to dashboard Cite

The resident assessment instrument-mental health (RAI-MH): Inter-rater reliability and convergent validity

Abstract: Abstract

Cited by 149 publications

References 16 publications

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS)

Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS)

Cross‐Functional Team Processes and Patient Functional Improvement

Análisis comparativo de dos instrumentos de evaluación clínica: OQ-45 e InterRAI- Salud Mental

Contact Info

Product

Resources

About