Sousa Renata Mello de Magalhães, Scazufca Márcia, Menezes Paulo Rossi, Crepaldi André Luiz, Prince Martin James
University Hospital, Universidade de São Paulo, São Paulo, SP, Brazil.
Braz J Psychiatry. 2009 Mar;31(1):34-8. doi: 10.1590/s1516-44462009000100009.
We set out to assess the feasibility, reliability and convergent validity of the Camberwell Assessment of Needs for the Elderly Scale in older residents of a Brazilian urban elderly population of low socioeconomic status.
We identified 32 older users of community health services from a population-based catchment area survey. We administered the Brazilian version of the Camberwell Assessment of Needs for the Elderly Scale to the older person and to an informal caregiver, and tape-recorded the assessments. Interviewers made a rating. Tape-recordings were independently co-rated.
Items contributing to older person and caregiver reports of needs and unmet needs had a high internal consistency. Inter-rater reliability was excellent for all needs, and fair to good for unmet needs. Older person and caregiver's reports, and interviewer ratings were highly mutually consistent. Convergent validity was supported by associations, as hypothesized, between needs and disability, and needs and dementia.
The Brazilian version of the Camberwell Assessment of Needs for the Elderly Scale is a feasible, reliable and, to the extent assessed, valid assessment of unmet needs in a disadvantaged low and middle income countries setting. Its practical utility as a clinical tool remains to be assessed.
我们旨在评估坎伯韦尔老年需求评估量表在巴西社会经济地位较低的城市老年人群体中的可行性、可靠性和收敛效度。
我们从一项基于人群的集水区调查中确定了32名社区卫生服务的老年使用者。我们向老年人及其非正式照料者发放了巴西版的坎伯韦尔老年需求评估量表，并对评估过程进行录音。访谈者进行评分。录音由独立的共同评分者进行评分。
对老年人和照料者需求及未满足需求报告有贡献的项目具有较高的内部一致性。所有需求方面的评分者间信度极佳，未满足需求方面的评分者间信度为中等至良好。老年人和照料者的报告以及访谈者的评分高度一致。如假设的那样，需求与残疾以及需求与痴呆之间的关联支持了收敛效度。
巴西版坎伯韦尔老年需求评估量表在中低收入国家的弱势环境中是一种可行、可靠且在已评估范围内有效的未满足需求评估工具。其作为临床工具的实际效用仍有待评估。
