Concordance between Direct Observation and Staff Rating of Behavior in Nursing Home Residents with Alzheimer's Disease

Bibliographic Data

ID12444103
AuthorsJudith J McCann (Presbyterian St. Luke's Medical Center, corresponding author), David W Gilley (Rush University), Liesi E Hebert (Rush University), Lucy Beckett (0000-0002-2418-9843, Institute on Aging), L A Beckett, D A Evans (0000-0002-4566-747X, Rush University)
Year1997
Volume52B
Issue2
PagesP63-P72
Publication date1997-03-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Journals of Gerontology Series B (JOURNAL)
Journal identifiersISSN: 1079-5014 • E-ISSN: 1758-5368
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/geronb/52b.2.p63
PMID9060981
OpenAlexW2062907245
LanguageEN
Citations received2
References cited2

This study examined concordance between staff ratings and direct observations of behavior in 177 nursing home residents with Alzheimer's disease. During a structured interview, the staff member who had the most frequent contact with each resident completed three standardized behavioral rating scales. Direct observation of behavior (60 observations per resident) was conducted concurrently by trained nonparticipant observers using a structured time-sampling technique. We found moderate agreement between the two sources for the occurrence of 12 target behaviors during the monitoring period, but generally low agreement regarding the frequency of these behaviors. Discrepancies regarding occurrence of behavior were non-random with a higher rate of detection by direct observation. Thus, the practical advantages of staff ratings of behavior in institutional settings may be partly offset by some reduction in the accuracy of enumeration

Concordance · Developmental psychology · Nursing homes · Nursing staff · Rating scale · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Medicine · Nursing · Patient Satisfaction in Healthcare · Psychology