AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings
Abstract Background The early identification of individuals at high risk for adverse outcomes by a Comprehensive Geriatric Assessment (CGA) in resource-limited primary care settings enables tailored treatments, however, the evidence concerning its benefits are still controversial. The main objective...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12877-020-01508-9 |
| _version_ | 1828445083660189696 |
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| author | Marcos Daniel Saraiva Amanda Lagreca Venys Fábio Luiz Pantaleão Abdalla Mariana Seabra Fernandes Priscila Henriques Pisoli Danilsa Margareth da Rocha Vilhena Sousa Barbara Lobo Bianconi Expedita Ângela Henrique Vanessa Silva Suller Garcia Lucas Henrique de Mendonça Maia Gisele Sayuri Suzuki Priscila Gonçalves Serrano Marcel Hiratsuka Claudia Szlejf Wilson Jacob-Filho Sérgio Márcio Pacheco Paschoal |
| author_facet | Marcos Daniel Saraiva Amanda Lagreca Venys Fábio Luiz Pantaleão Abdalla Mariana Seabra Fernandes Priscila Henriques Pisoli Danilsa Margareth da Rocha Vilhena Sousa Barbara Lobo Bianconi Expedita Ângela Henrique Vanessa Silva Suller Garcia Lucas Henrique de Mendonça Maia Gisele Sayuri Suzuki Priscila Gonçalves Serrano Marcel Hiratsuka Claudia Szlejf Wilson Jacob-Filho Sérgio Márcio Pacheco Paschoal |
| author_sort | Marcos Daniel Saraiva |
| collection | DOAJ |
| description | Abstract Background The early identification of individuals at high risk for adverse outcomes by a Comprehensive Geriatric Assessment (CGA) in resource-limited primary care settings enables tailored treatments, however, the evidence concerning its benefits are still controversial. The main objective of this study was to examine the validity and reliability of the “Multidimensional Assessment of Older People in Primary Care (AMPI-AB)”, a CGA for primary care in resource-limited settings. Methods Longitudinal study, with median follow-up time of 16 months. Older adults from a public primary care unit in São Paulo, Brazil, were consecutively admitted. Reliability was tested in a sample from a public geriatric outpatient clinic. Participants were classified by the AMPI-AB score as requiring a low, intermediate or high complexity of care. The Physical Frailty Phenotype was used to explore the AMPI-AB’s concurrent validity. Predictive validity was assessed with mortality, worsening of the functional status, hospitalizations, emergency room (ER) visits and falls. The area under the ROC curve and logistic regression were calculated for binary outcomes, and a Cox proportional hazards model was used for survival analysis. Results Older adults (n = 317) with a median age of 80 (74–86) years, 67% female, were consecutively admitted. At the follow-up, 7.1% of participants had died, and increased dependency on basic and instrumental activities of daily living was detected in 8.9 and 41.1% of the participants, respectively. The AMPI-AB score was accurate in detecting frailty (area under the ROC curve = 0.851), predicted mortality (HR = 1.25, 95%CI = 1.13–1.39) and increased dependency on basic (OR = 1.26, 95%CI = 1.10–1.46) and instrumental (OR = 1.22, 95%CI = 1.12–1.34) activities of daily living, hospitalizations (OR = 2.05, 95%CI = 1.04–1.26), ER visits (OR = 1.20, 95%CI = 1.10–1.31) and falls (OR = 1.10, 95%CI = 1.01–1.20), all models adjusted for sex and years of schooling. Reliability was tested in a sample of 52 older adults with a median age of 72 (85–64) years, 63.5% female. The AMPI-AB also had good interrater (ICC = 0.87, 95%CI = 0.78–0.92), test-retest (ICC = 0.86, 95%CI = 0.76–0.93) and proxy reliability (ICC = 0.84, 95%CI = 0.67–0.93). The Cronbach’s alpha was 0.69, and the mean AMPI-AB administration time was 05:44 ± 02:42 min. Conclusion The AMPI-AB is a valid and reliable tool for managing older adults in resource-limited primary care settings. |
| first_indexed | 2024-12-10T21:52:26Z |
| format | Article |
| id | doaj.art-1c995fa3f6c340dca9a8064b794d9051 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-10T21:52:26Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-1c995fa3f6c340dca9a8064b794d90512022-12-22T01:32:08ZengBMCBMC Geriatrics1471-23182020-03-012011710.1186/s12877-020-01508-9AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settingsMarcos Daniel Saraiva0Amanda Lagreca Venys1Fábio Luiz Pantaleão Abdalla2Mariana Seabra Fernandes3Priscila Henriques Pisoli4Danilsa Margareth da Rocha Vilhena Sousa5Barbara Lobo Bianconi6Expedita Ângela Henrique7Vanessa Silva Suller Garcia8Lucas Henrique de Mendonça Maia9Gisele Sayuri Suzuki10Priscila Gonçalves Serrano11Marcel Hiratsuka12Claudia Szlejf13Wilson Jacob-Filho14Sérgio Márcio Pacheco Paschoal15Medical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineGeraldo de Paula Souza Health Center School, USP Faculty of Public HealthMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineMedical Research Laboratory in Aging (LIM-66) of Geriatrics Division of the Clinics Hospital of São Paulo University (USP) Faculty of MedicineAbstract Background The early identification of individuals at high risk for adverse outcomes by a Comprehensive Geriatric Assessment (CGA) in resource-limited primary care settings enables tailored treatments, however, the evidence concerning its benefits are still controversial. The main objective of this study was to examine the validity and reliability of the “Multidimensional Assessment of Older People in Primary Care (AMPI-AB)”, a CGA for primary care in resource-limited settings. Methods Longitudinal study, with median follow-up time of 16 months. Older adults from a public primary care unit in São Paulo, Brazil, were consecutively admitted. Reliability was tested in a sample from a public geriatric outpatient clinic. Participants were classified by the AMPI-AB score as requiring a low, intermediate or high complexity of care. The Physical Frailty Phenotype was used to explore the AMPI-AB’s concurrent validity. Predictive validity was assessed with mortality, worsening of the functional status, hospitalizations, emergency room (ER) visits and falls. The area under the ROC curve and logistic regression were calculated for binary outcomes, and a Cox proportional hazards model was used for survival analysis. Results Older adults (n = 317) with a median age of 80 (74–86) years, 67% female, were consecutively admitted. At the follow-up, 7.1% of participants had died, and increased dependency on basic and instrumental activities of daily living was detected in 8.9 and 41.1% of the participants, respectively. The AMPI-AB score was accurate in detecting frailty (area under the ROC curve = 0.851), predicted mortality (HR = 1.25, 95%CI = 1.13–1.39) and increased dependency on basic (OR = 1.26, 95%CI = 1.10–1.46) and instrumental (OR = 1.22, 95%CI = 1.12–1.34) activities of daily living, hospitalizations (OR = 2.05, 95%CI = 1.04–1.26), ER visits (OR = 1.20, 95%CI = 1.10–1.31) and falls (OR = 1.10, 95%CI = 1.01–1.20), all models adjusted for sex and years of schooling. Reliability was tested in a sample of 52 older adults with a median age of 72 (85–64) years, 63.5% female. The AMPI-AB also had good interrater (ICC = 0.87, 95%CI = 0.78–0.92), test-retest (ICC = 0.86, 95%CI = 0.76–0.93) and proxy reliability (ICC = 0.84, 95%CI = 0.67–0.93). The Cronbach’s alpha was 0.69, and the mean AMPI-AB administration time was 05:44 ± 02:42 min. Conclusion The AMPI-AB is a valid and reliable tool for managing older adults in resource-limited primary care settings.http://link.springer.com/article/10.1186/s12877-020-01508-9Comprehensive geriatric assessmentScreening toolPrimary careValidation |
| spellingShingle | Marcos Daniel Saraiva Amanda Lagreca Venys Fábio Luiz Pantaleão Abdalla Mariana Seabra Fernandes Priscila Henriques Pisoli Danilsa Margareth da Rocha Vilhena Sousa Barbara Lobo Bianconi Expedita Ângela Henrique Vanessa Silva Suller Garcia Lucas Henrique de Mendonça Maia Gisele Sayuri Suzuki Priscila Gonçalves Serrano Marcel Hiratsuka Claudia Szlejf Wilson Jacob-Filho Sérgio Márcio Pacheco Paschoal AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings BMC Geriatrics Comprehensive geriatric assessment Screening tool Primary care Validation |
| title | AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings |
| title_full | AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings |
| title_fullStr | AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings |
| title_full_unstemmed | AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings |
| title_short | AMPI-AB validity and reliability: a multidimensional tool in resource-limited primary care settings |
| title_sort | ampi ab validity and reliability a multidimensional tool in resource limited primary care settings |
| topic | Comprehensive geriatric assessment Screening tool Primary care Validation |
| url | http://link.springer.com/article/10.1186/s12877-020-01508-9 |
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