Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE)
Monitoring the level of responsiveness of patients with Disorders of Consciousness (DoCs) represents an issue in all the settings where there is not the daily presence of clinicians, such as long-term and domestic settings. The involvement of patients’ informal caregivers (i.e., patients’ family) in...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2022-02-01
|
Series: | Brain Sciences |
Subjects: | |
Online Access: | https://www.mdpi.com/2076-3425/12/3/323 |
_version_ | 1797472601499500544 |
---|---|
author | Davide Sattin Francesca Giulia Magnani Martina Cacciatore Matilde Leonardi |
author_facet | Davide Sattin Francesca Giulia Magnani Martina Cacciatore Matilde Leonardi |
author_sort | Davide Sattin |
collection | DOAJ |
description | Monitoring the level of responsiveness of patients with Disorders of Consciousness (DoCs) represents an issue in all the settings where there is not the daily presence of clinicians, such as long-term and domestic settings. The involvement of patients’ informal caregivers (i.e., patients’ family) in such a monitoring process is thus fundamental. However, to date, no standardized tailored-made instruments exist that informal caregivers can use without the presence of clinicians, despite evidence illustrating the good accuracy of caregivers when expressing their opinions about the level of responsiveness of DoC patients. The present work aims to set the foundational knowledge, to create a standardized instrument that is able to assess the level of responsiveness of patients with DoCs by their informal caregivers. After selecting and modifying the items to be included in the new scale from the gold standard to diagnose DoCs (i.e., the Coma Recovery Scale-revised), and following a consensus process, we created the Social and Family Evaluation (SAFE) scale for caregivers of patients with DoCs. Although the SAFE needs a validation process, with the present work we provided its preliminary description along with insights into its clinical utility. |
first_indexed | 2024-03-09T20:03:40Z |
format | Article |
id | doaj.art-3cf88c04ac584189b5bb912eaf1ee023 |
institution | Directory Open Access Journal |
issn | 2076-3425 |
language | English |
last_indexed | 2024-03-09T20:03:40Z |
publishDate | 2022-02-01 |
publisher | MDPI AG |
record_format | Article |
series | Brain Sciences |
spelling | doaj.art-3cf88c04ac584189b5bb912eaf1ee0232023-11-24T00:37:28ZengMDPI AGBrain Sciences2076-34252022-02-0112332310.3390/brainsci12030323Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE)Davide Sattin0Francesca Giulia Magnani1Martina Cacciatore2Matilde Leonardi3UOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, ItalyUOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, ItalyUOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, ItalyUOC Neurologia, Salute Pubblica, Disabilità, Fondazione IRCCS Istituto Neurologico Carlo Besta, 20133 Milan, ItalyMonitoring the level of responsiveness of patients with Disorders of Consciousness (DoCs) represents an issue in all the settings where there is not the daily presence of clinicians, such as long-term and domestic settings. The involvement of patients’ informal caregivers (i.e., patients’ family) in such a monitoring process is thus fundamental. However, to date, no standardized tailored-made instruments exist that informal caregivers can use without the presence of clinicians, despite evidence illustrating the good accuracy of caregivers when expressing their opinions about the level of responsiveness of DoC patients. The present work aims to set the foundational knowledge, to create a standardized instrument that is able to assess the level of responsiveness of patients with DoCs by their informal caregivers. After selecting and modifying the items to be included in the new scale from the gold standard to diagnose DoCs (i.e., the Coma Recovery Scale-revised), and following a consensus process, we created the Social and Family Evaluation (SAFE) scale for caregivers of patients with DoCs. Although the SAFE needs a validation process, with the present work we provided its preliminary description along with insights into its clinical utility.https://www.mdpi.com/2076-3425/12/3/323consciousnessassessmentmeasurementcaregiversdiagnosis |
spellingShingle | Davide Sattin Francesca Giulia Magnani Martina Cacciatore Matilde Leonardi Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) Brain Sciences consciousness assessment measurement caregivers diagnosis |
title | Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) |
title_full | Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) |
title_fullStr | Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) |
title_full_unstemmed | Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) |
title_short | Towards a New Assessment Tool for Caregivers of Patients with Disorders of Consciousness: The Social and Family Evaluation Scale (SAFE) |
title_sort | towards a new assessment tool for caregivers of patients with disorders of consciousness the social and family evaluation scale safe |
topic | consciousness assessment measurement caregivers diagnosis |
url | https://www.mdpi.com/2076-3425/12/3/323 |
work_keys_str_mv | AT davidesattin towardsanewassessmenttoolforcaregiversofpatientswithdisordersofconsciousnessthesocialandfamilyevaluationscalesafe AT francescagiuliamagnani towardsanewassessmenttoolforcaregiversofpatientswithdisordersofconsciousnessthesocialandfamilyevaluationscalesafe AT martinacacciatore towardsanewassessmenttoolforcaregiversofpatientswithdisordersofconsciousnessthesocialandfamilyevaluationscalesafe AT matildeleonardi towardsanewassessmenttoolforcaregiversofpatientswithdisordersofconsciousnessthesocialandfamilyevaluationscalesafe |