Craig Christopher, Chadborn Neil, Sands Gina, Tuomainen Helena, Gladman John
National Institute for Health Research, CLAHRC East Midlands, University of Nottingham, Nottingham, UK.
Warwick Medical School, Division of Mental Health and Well-being, University of Warwick, Warwick, UK.
Age Ageing. 2015 Jul;44(4):559-65. doi: 10.1093/ageing/afv050. Epub 2015 Apr 24.
undertaking comprehensive geriatric assessments (CGAs) combined with long-term health and social care management can improve the quality of life of older people [ 1]. The EASY-Care tool is a CGA instrument designed for assessing the physical, mental and social functioning and unmet health and social needs of older people in community settings or primary care. It has also been used as a frailty assessment tool and for gathering population-level data.
to review the evidence of reliability, validity and acceptability of EASY-Care and its appropriateness for assessing the needs of community-dwelling older people.
systematic search of literature databases using pre-defined search terms (January 1994-May 2014) for English language articles reporting on the reliability, validity, acceptability and implementation of EASY-Care in primary care and community settings. Eligible articles were critically reviewed. Discussion papers mapping professionals' use of the tool were also included as these could be considered an aspect of validity.
twenty-nine papers met the inclusion criteria and underwent data extraction. A narrative synthesis was performed, because there was a variety of quantitative and qualitative outcomes and characteristics. Reliability evidence for EASY-Care is minimal. Evidence for validity is good, and it has received numerous positive endorsements of acceptability in international settings from older people and practitioners.
evidence supports the use of EASY-Care for individual needs assessment; further research is needed for other uses. Of the papers that made statements about who should administer EASY-Care, the majority indicated that nurses were preferable to self-completion.
开展综合老年评估（CGAs）并结合长期健康与社会护理管理能够提高老年人的生活质量[1]。EASY-Care工具是一种综合老年评估工具，旨在评估社区环境或初级保健中老年人的身体、心理和社会功能以及未满足的健康和社会需求。它也被用作衰弱评估工具以及收集人群层面的数据。
回顾EASY-Care工具在可靠性、有效性、可接受性方面的证据，以及其在评估社区居住老年人需求方面的适用性。
使用预定义检索词（1994年1月至2014年5月）对文献数据库进行系统检索，查找关于EASY-Care工具在初级保健和社区环境中的可靠性、有效性、可接受性及实施情况的英文文章。对符合条件的文章进行严格评审。还纳入了描述专业人员使用该工具情况的讨论论文，因为这些可被视为有效性的一个方面。
29篇论文符合纳入标准并进行了数据提取。由于存在各种定量和定性的结果及特征，因此进行了叙述性综述。EASY-Care工具的可靠性证据极少。有效性证据良好，并且在国际环境中得到了老年人和从业者对其可接受性的众多积极认可。
有证据支持使用EASY-Care工具进行个体需求评估；其他用途还需要进一步研究。在对应由谁实施EASY-Care工具做出陈述的论文中，大多数表明护士实施比自我完成更可取。
