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Efforts to establish the reliability of the Resident Assessment Instrument
Istituto di Medicina Interna e Geriatria, Universita Cattolica del Sacro Cuore Largo A. Gemelli, 8, 00168 Rome, Italy
1 Hebrew Rehabilitation Center for the Aged, Division of Social Gerontology Boston, USA
2 RAI Unit, Sabbatsberg Sjukhus Stockholm, Sweden
3 Institute of Gerontology and School of Public Health, University of Michigan and Veterans Administration Medical Center Ann Arbor, Ml, USA
4 Me-Ti SA Carouge, Switzerland
5 Department of Geriatrics, Reykjvik City Hospital Reykjavik, Iceland
6 Department of Geriatrics, Kommunehospitalet Copenhagen, Denmark
Address correspondence to A. Sgadari. Fax: (+39) 6 305 1911. E-mail: A.SGADARI{at}caspurit
Background: Since its original implementation in the USA, the Resident Assessment Instrument (RAI) has been used in many countries in languages other than English. This paper describes the efforts that have been made to test the inter-rater reliability of the core set of items forming the minimum data set items in the USA and in non-English speaking countries (Denmark, Iceland, Italy, Japan, Sweden and Switzerland).
Results: A large proportion (from 70 to 96%) of the items in the RAI achieved an adequate to excellent level of reliability, with no substantial differences across countries. The RAI met the standard for good reliability (i.e. a k value of 0.6 or higher) in crucial areas of functional status, such as memory, activities of daily living self-performance and support, and bowel and bladder continence in most of the countries. Indicators of mood and behavioural problems achieved adequate reliability levels of 0.4 or higher.
Keywords: assessment instruments, minimum data set nursing home, reliability
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