Centre de recherche sur les soins et les services de première ligne de l'Université Laval (CERSSPL-UL).
Centre intégré universitaire de santé et services sociaux (CIUSSS) de la Capitale-Nationale.
Age Ageing. 2019 Nov 1;48(6):875-880. doi: 10.1093/ageing/afz084.
patient self-assessment using electronic tablet could improve the quality of assessment of older Emergency Department(ED) patients. However, the acceptability of this practice remains unknown.
to compare the acceptability of self-assessment using a tablet in the ED to a standard assessment by a research assistant (RA), according to seniors and their caregivers.
randomised crossover pilot study.
The Hôpital de l'Enfant-Jésus (CHU de Québec-Université Laval) (2018/05-2018/07).
(1) ED patients aged ≥65, (2) their caregiver, if present.
participants' frailty, cognitive and functional status were assessed with the Clinical Frailty scale, Montreal Cognitive Assessment, and Older American Resources and Services scale and patients self-assessed using a tablet. Test administration order was randomised. The primary outcome, acceptability, was measured using the Treatment Acceptability and Preferences (TAP) scale. Descriptive analyses were performed for sociodemographic variables. TAP scores were adjusted using multivariate linear regression. Thematic content analysis was performed for qualitative data.
sixty-seven patients were included. Mean age was 75.5 ± 8.0 and 55.2% were women. Adjusted TAP scores for RA evaluation and patient self-assessment were 2.36 and 2.20, respectively (P = 0.08). Patients aged ≥85 showed a difference between the TAP scores (P < 0.05). Qualitative data indicates that this might be attributed to the use of technology. Data from nine caregivers showed a 2.42 mean TAP score for RA evaluation and 2.44 for self-assessment.
our results show that older patients believe self-assessment in the ED using an electronic tablet as acceptable as a standard evaluation by a research assistant. Patients aged ≥85 find this practice less acceptable.
患者使用电子平板电脑进行自我评估可以提高老年急诊科（ED）患者评估的质量。然而，这种做法的可接受性尚不清楚。
根据老年人及其护理人员的情况，比较 ED 中使用平板电脑进行自我评估与由研究助理（RA）进行标准评估的可接受性。
随机交叉试点研究。
Hôpital de l'Enfant-Jésus（CHU de Québec-Université Laval）（2018/05-2018/07）。
（1）年龄≥65 岁的 ED 患者，（2）如果有，他们的护理人员。
使用临床虚弱量表、蒙特利尔认知评估和老年人资源和服务量表评估患者的虚弱、认知和功能状况，患者使用平板电脑进行自我评估。测试管理顺序是随机的。主要结果，可接受性，使用治疗可接受性和偏好（TAP）量表进行测量。对社会人口统计学变量进行描述性分析。使用多元线性回归调整 TAP 评分。对定性数据进行主题内容分析。
共纳入 67 例患者。平均年龄为 75.5 ± 8.0 岁，55.2%为女性。RA 评估和患者自我评估的调整后 TAP 评分分别为 2.36 和 2.20（P = 0.08）。年龄≥85 岁的患者 TAP 评分存在差异（P < 0.05）。来自 9 名护理人员的定性数据表明，这可能归因于技术的使用。RA 评估的平均 TAP 评分为 2.42，自我评估为 2.44。
我们的结果表明，老年患者认为 ED 中使用电子平板电脑进行自我评估与由研究助理进行标准评估一样可接受。年龄≥85 岁的患者发现这种做法不太可接受。
