Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey
Multidimensional assessments are important in evaluating the overall health of older adults. The comprehensive geriatric assessment (CGA) is a representative framework; however, the burden associated with the CGA has led to the development of simplified multidimensional tools. Comparing these tools...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/15/4917 |
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| author | Naoki Tomita Yuki Ohashi Aiko Ishiki Akiko Ozaki Mitsuyuki Nakao Satoru Ebihara Yasuyuki Taki |
| author_facet | Naoki Tomita Yuki Ohashi Aiko Ishiki Akiko Ozaki Mitsuyuki Nakao Satoru Ebihara Yasuyuki Taki |
| author_sort | Naoki Tomita |
| collection | DOAJ |
| description | Multidimensional assessments are important in evaluating the overall health of older adults. The comprehensive geriatric assessment (CGA) is a representative framework; however, the burden associated with the CGA has led to the development of simplified multidimensional tools. Comparing these tools to the CGA can help utilize them effectively. However, a direct comparison is challenging owing to the conceptual nature of the CGA. In this study, we conducted a web-based survey to identify essential CGA components by linking International Classification of Functioning, Disability, and Health (ICF) category level 2 items and “not defined/not covered” (nd/nc) items. Healthcare professionals and individuals aged >65 years participated in a two-stage Delphi study. In total, 182 respondents (7 geriatricians, 22 nurses, 20 therapists, and 4 case managers) completed the survey. Sixty-one essential components for CGA were identified, including 55 ICF categories. Additionally, personal factors (i.e., proactiveness) and nd/nc items (i.e., subjective perceptions) were aggregated. The results suggest that the CGA includes objective conditions of intrinsic capacity, functional ability, and environment as well as subjective perceptions and proactiveness toward those conditions. Thus, CGA is not merely expected to assess geriatric syndrome but also to estimate broader concepts, such as interoception, resilience, and quality of life. |
| first_indexed | 2024-03-11T00:24:53Z |
| format | Article |
| id | doaj.art-e3cb779632ff48a9bf8802d4f4daeb6b |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T00:24:53Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-e3cb779632ff48a9bf8802d4f4daeb6b2023-11-18T23:06:56ZengMDPI AGJournal of Clinical Medicine2077-03832023-07-011215491710.3390/jcm12154917Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based SurveyNaoki Tomita0Yuki Ohashi1Aiko Ishiki2Akiko Ozaki3Mitsuyuki Nakao4Satoru Ebihara5Yasuyuki Taki6Department of Geriatric Medicine and Neuroimaging, Tohoku University Hospital, Sendai 980-8575, Miyagi, JapanNursing Department, Rakuwakai Otowa Rehabilitation Hospital, Kyoto City 607-8062, Kyoto Prefecture, JapanDepartment of Community Medicine, Tohoku Medical and Pharmaceutical University, Sendai 981-8558, Miyagi, JapanDepartment of Gerontological and Home Healthcare Nursing, Division of Health Sciences, Graduate School of Medicine, Tohoku University, Sendai 980-8575, Miyagi, JapanLaboratory of Biomodeling, Department of Applied Information Sciences, Graduate School of Information Sciences, Tohoku University, Sendai 980-8579, Miyagi, JapanDepartment of Internal Medicine and Rehabilitation Science, Graduate School of Medicine, Tohoku University, Sendai 980-857, Miyagi, JapanDepartment of Geriatric Medicine and Neuroimaging, Tohoku University Hospital, Sendai 980-8575, Miyagi, JapanMultidimensional assessments are important in evaluating the overall health of older adults. The comprehensive geriatric assessment (CGA) is a representative framework; however, the burden associated with the CGA has led to the development of simplified multidimensional tools. Comparing these tools to the CGA can help utilize them effectively. However, a direct comparison is challenging owing to the conceptual nature of the CGA. In this study, we conducted a web-based survey to identify essential CGA components by linking International Classification of Functioning, Disability, and Health (ICF) category level 2 items and “not defined/not covered” (nd/nc) items. Healthcare professionals and individuals aged >65 years participated in a two-stage Delphi study. In total, 182 respondents (7 geriatricians, 22 nurses, 20 therapists, and 4 case managers) completed the survey. Sixty-one essential components for CGA were identified, including 55 ICF categories. Additionally, personal factors (i.e., proactiveness) and nd/nc items (i.e., subjective perceptions) were aggregated. The results suggest that the CGA includes objective conditions of intrinsic capacity, functional ability, and environment as well as subjective perceptions and proactiveness toward those conditions. Thus, CGA is not merely expected to assess geriatric syndrome but also to estimate broader concepts, such as interoception, resilience, and quality of life.https://www.mdpi.com/2077-0383/12/15/4917comprehensive geriatric assessmentenvironmentfunctional abilitygeriatric syndromeinternational classification of functioning, disability, and healthinteroception |
| spellingShingle | Naoki Tomita Yuki Ohashi Aiko Ishiki Akiko Ozaki Mitsuyuki Nakao Satoru Ebihara Yasuyuki Taki Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey Journal of Clinical Medicine comprehensive geriatric assessment environment functional ability geriatric syndrome international classification of functioning, disability, and health interoception |
| title | Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey |
| title_full | Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey |
| title_fullStr | Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey |
| title_full_unstemmed | Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey |
| title_short | Detecting Comparative Features of Comprehensive Geriatric Assessment through the International Classification of Functioning, Disability, and Health Linkage: A Web-Based Survey |
| title_sort | detecting comparative features of comprehensive geriatric assessment through the international classification of functioning disability and health linkage a web based survey |
| topic | comprehensive geriatric assessment environment functional ability geriatric syndrome international classification of functioning, disability, and health interoception |
| url | https://www.mdpi.com/2077-0383/12/15/4917 |
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