1School of Rehabilitation, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, QC, Canada.
Clin Rehabil. 2014 Feb;28(2):172-82. doi: 10.1177/0269215513494027. Epub 2013 Jul 29.
To determine if Algo, a clinical algorithm to select bathing equipment for 'straightforward' cases, guides home health aides in selecting the appropriate bath seat.
Criterion validity study.
Community home care.
Eight home health aides used Algo with community-dwelling older adults having a straightforward problem.
Their bath-seat recommendations were compared with those proposed by an occupational therapist (OT), which were considered as the gold standard. In order to determine a clinically acceptable threshold of agreement between the recommendations, a subgroup of community-dwelling elderly people was assessed a third time by another OT.
Half of the clients (74/143) for whom bathroom assessments were requested qualified as potentially straightforward cases after triage and were visited at home by a home health aide using Algo. In 84% of cases (95% confidence interval (CI) = [75, 93]), the non-OTs using Algo identified a seat that would enable these older adults to bathe according to their preferences, abilities and environment, as confirmed by the gold standard OT. Moreover, this appropriateness rate did not statistically differ from that obtained when comparing another OT to the gold standard.
Algo guides non-OTs toward a bath seat that meets the needs of community-dwelling older adults in the majority of cases.
确定 Algo 是否能指导家庭健康助理为“简单”病例选择洗浴设备，Algo 是一种临床算法，用于选择洗浴设备。
标准有效性研究。
社区家庭护理。
8 名家庭健康助理使用 Algo 为有简单问题的社区居住的老年人提供服务。
将他们的浴椅推荐与职业治疗师（OT）提出的建议进行比较，OT 的建议被认为是金标准。为了确定推荐之间具有临床可接受的一致性阈值，对另一组社区居住的老年人进行了第三次评估，由另一位 OT 进行评估。
在分诊后，有一半（74/143）需要浴室评估的客户被认为是潜在的简单病例，并由家庭健康助理使用 Algo 上门访问。在 84%的情况下（95%置信区间（CI）=[75,93]），使用 Algo 的非 OT 确定了一个座位，根据老年人的喜好、能力和环境，使他们能够洗澡，这得到了金标准 OT 的确认。此外，这种适当性比率与比较另一位 OT 与金标准的比率没有统计学差异。
Algo 指导非 OT 人员选择符合大多数社区居住的老年人需求的浴椅。
