Indian Journal of Public Health

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 63  |  Issue : 1  |  Page : 51--57

Development of integrated care tool – BRIEF for screening the unmet psychosociomedical needs of older Indians


Prasun Chatterjee1, George W Rebok2, Sada N Dwivedi3, Deepa A Kumar4, Ruchika Madan5, Aparajit B Dey6 
1 Assistant Professor, Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Professor, Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
3 Professor, Department of Biostatistics, All India Institute of Medical Sciences, New Delhi, India
4 Independent Researcher, Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA
5 Physiotherapist, Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India
6 Professor and Head, Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Prasun Chatterjee
Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi
India

Background: With demographic shifts, there is an unprecedented increase in noncommunicable diseases, multimorbidity, and geriatric syndromes among older adults, especially in economically weaker sectors. However, there is no socioculturally appropriate tool to screen older adults for age-related health needs, multimorbidity, and geriatric syndromes at their doorstep. Objective: Our objective was to create a self-assessment tool, “integrated care tool” (ICT), and to assess its psychometric properties by applying it on older adults from multiple settings such as hospital, community, and old-age home (assisted living services). Methods: new questionnaire was developed using standardized procedure including item development, pilot testing, and psychometric validation. After obtaining the institutional ethics committee clearance, data were collected from consenting respondents attending the Outpatient Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi, community settings through health camps, and long-term care center, between May 2016 and February 2017. Data were computerized and analyzed by principal component analysis as extraction method and orthogonal varimax as rotation method. Results: The final 30-item questionnaire was arranged into various domains as per rotated component matrix analysis. Overall internal consistency of the final questionnaire, as calculated by Cronbach's alpha, was 0.79, and the measure of sampling adequacy was 0.79. Conclusion: ICT-BRIEF is a simple, self-assessment/caregiver-assisted tool to screen the health needs of older adults. This tool can be validated for developing risk score and scaled up to generate a large database to create elderly centered care plans.


How to cite this article:
Chatterjee P, Rebok GW, Dwivedi SN, Kumar DA, Madan R, Dey AB. Development of integrated care tool – BRIEF for screening the unmet psychosociomedical needs of older Indians.Indian J Public Health 2019;63:51-57


How to cite this URL:
Chatterjee P, Rebok GW, Dwivedi SN, Kumar DA, Madan R, Dey AB. Development of integrated care tool – BRIEF for screening the unmet psychosociomedical needs of older Indians. Indian J Public Health [serial online] 2019 [cited 2019 Oct 20 ];63:51-57
Available from: http://www.ijph.in/article.asp?issn=0019-557X;year=2019;volume=63;issue=1;spage=51;epage=57;aulast=Chatterjee;type=0