Clinimetric Properties of the "FIND-NEEDS" to Screen Geriatric Conditions.

IF 3.1 3区医学 Q3 GERIATRICS & GERONTOLOGY Gerontology Pub Date : 2024-01-01 Epub Date: 2024-05-15 DOI:10.1159/000539261

Chia-Ming Chang, Chung-Ying Lin, Fang-Wen -Hu, Ying-Wei Wang, Chi-Chang Huang, Yu-Tai Lo, Chien-Yuan Wu, Yuan-Fang Chung, Chiu-Chen Kang, Yi-Jung Chen, Yi-Ching Yang, Li-Fan Liu, Mark D Griffiths, Dai-Chan Lin, Meng-Ru Shen

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Abstract

Introduction: Comprehensive geriatric assessment (CGA) is used to thoroughly assess and identify complex healthcare problems among older adults. However, administration of CGA is time-consuming and labor intensive. A simple screening tool with the mnemonic "FIND-NEEDS" was developed to quickly identify common geriatric conditions. The present study was to evaluate the clinimetric properties of the FIND-NEEDS.

Methods: The participants comprised first-visiting older adults aged 65 years and above (and who were able to communicate by themselves or with the help of a caregiver) who were assessed (October to December, 2021) using the FIND-NEEDS and CGA at geriatric outpatient clinics of a tertiary, referred medical center. The FIND-NEEDS was examined for its criterion-related validity and compared with the CGA results. Two types of scoring (summed score and binary score) of FIND-NEEDS and CGA were analyzed using Spearman correlation, sensitivity and specificity, and area under receiver operating characteristic curve (AUC).

Results: The mean age of the 114 outpatients was 78.3 ± 7.6 years, and 79 (69.3%) were female. The internal consistency was excellent when using all FIND-NEEDS items, and was acceptable when using domain scores. Exploratory factor analysis showed that most of the FIND-NEEDS domain scores had factor loadings higher than 0.3. Intercorrelations of binary scores between domains of FIND-NEEDS and CGA showed most domains were moderately correlated. The overall correlation of summed scores between FIND-NEEDS and CGA was high. The FIND-NEEDS summed score was moderately correlated with CGA score (r = 0.494; p < 0.001), and the binary score showed excellent correlation (r = 0.944; p < 0.001). When using the CGA score as the gold standard, the FIND-NEEDS showed excellent AUC (0.950), sensitivity (1.00), and specificity (0.90).

Discussion/conclusion: The present study demonstrated that the FIND-NEEDS had acceptable clinimetric properties to screen for geriatric problems among older adults. Further in-depth assessment and care plan can then be conducted afterwards.

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用于筛查老年病的 "FIND-NEEDS "的临床测量特性。

导言：综合老年评估（CGA）用于全面评估和识别老年人复杂的医疗保健问题。然而，实施 CGA 需要耗费大量时间和人力。我们开发了一种简单的筛查工具，其记忆法为 "FIND-NEEDS"，用于快速识别常见的老年病。本研究旨在评估 FIND-NEEDS 的临床特性：方法：在一家三级转诊医疗中心的老年病门诊，使用 FIND-NEEDS 和 CGA 对首次就诊的 65 岁及以上老年人（能够自己或在护理人员的帮助下进行交流）进行评估（2021 年 10 月至 12 月）。对 FIND-NEEDS 进行了标准相关有效性检验，并与 CGA 结果进行了比较。使用斯皮尔曼相关性、敏感性和特异性以及接收者工作特征曲线下面积（AUC）对 FIND-NEEDS 和 CGA 的两种评分类型（总分和二元评分）进行了分析：114名门诊患者的平均年龄为（78.3±7.6）岁，其中79人（69.3%）为女性。FIND-NEEDS 所有项目的内部一致性都很好，使用领域得分时内部一致性也可以接受。探索性因子分析显示，大多数 FIND-NEEDS 领域得分的因子载荷都高于 0.3。FIND-NEEDS 和 CGA 领域之间二元得分的相互关系显示，大多数领域都有中等程度的相关性。FIND-NEEDS 和 CGA 之间总分的总体相关性较高。FIND-NEEDS 总分与 CGA 分数呈中度相关（r=0.494; p<0.001），而二进制分数则显示出极好的相关性（r=0.944; p<0.001）。当使用 CGA 评分作为金标准时，FIND-NEEDS 的 AUC（0.950）、灵敏度（1.00）和特异性（0.90）均表现优异：本研究表明，FIND-NEEDS 在筛查老年人老年问题方面具有可接受的临床测量特性。随后可进行进一步的深入评估和护理计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerontology 医学-老年医学

CiteScore

6.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.