scholarly journals Camberwell Assessment of Need for the Elderly (CANE)

2000 ◽  
Vol 176 (5) ◽  
pp. 444-452 ◽  
Author(s):  
Tom Reynolds ◽  
Graham Thornicroft ◽  
Melanie Abas ◽  
Bob Woods ◽  
Juanita Hoe ◽  
...  

BackgroundThere exists no instrument specifically designed to measure comprehensively the needs of older people with mental disorders.AimTo develop such an instrument which would take account of patients', staff and carers' views on needs.MethodFollowing an extensive development process, the assessment instrument was subjected to a test–retest and interrater reliability study, while aspects of validity were addressed both during development and with data provided by sites in the UK, Sweden and the USA.ResultsThe Camberwell Assessment of Need for the Elderly (CANE) comprises 24 items (plus two items for carer needs), and records staff, carer and patient views. It has good content, construct and consensual validity. It also demonstrates appropriate criterion validity. Reliability is generally very high: κ > 0.85 for all staff ratings of interrater reliability. Correlations of interrater and test–retest reliability of total numbers of needs identified by staff were 0.99 and 0.93, respectively.ConclusionsThe psychometric properties of the CANE seem to be highly acceptable. It was easily used by a wide range of professionals without formal training.

2000 ◽  
Vol 176 (5) ◽  
pp. 473-478 ◽  
Author(s):  
K. Xenitidis ◽  
G. Thornicroft ◽  
M. Leese ◽  
M. Slade ◽  
M. Fotiadou ◽  
...  

BackgroundPeople with learning disabilities and mental health problems have complex needs. Care should be provided according to need.AimTo develop a standardised needs-assessment instrument for adults with learning disabilities and mental health problems.MethodThe Camberwell Assessment of Need for Adults with Developmental and Intellectual Disabilities (CANDID) was developed by modifying the Camberwell Assessment of Need (CAN). Concurrent validity was tested using the Global Assessment of Functioning (GAF) and the Disability Assessment Schedule (DAS). Test–retest and interrater reliability were investigated using 40 adults with learning disabilities and mental health problems.ResultsCANDID scores were significantly correlated with both DAS (P<0.05) and GAF scores (P<0.01). Correlation coefficients for interrater reliability were 0.93 (user), 0.90 (carer), and 0.97 (staff ratings); for test–retest reliability they were 0.71, 0.69 and 0.86 respectively. Mean interview duration was less than 30 minutes.ConclusionsThe CANDID is a brief, valid and reliable needs assessment instrument for adults with learning disabilities and mental health problems.


2014 ◽  
Author(s):  
Πενταγιώτισσα Στεφανάτου

Σκοπός της μελέτης η οποία διενεργήθηκε ήταν να ελέγξει τις ψυχομετρικές ιδιότητες της ελληνικής μετάφρασης του Camberwell Assessment of Need (CAN), ενός εργαλείου το οποίο κατασκευάστηκε προκειμένου να εκτιμά σε ατομικό επίπεδο τις σύνθετες κλινικές, κοινωνικές και βασικές ανθρώπινες ανάγκες ατόμων με σοβαρή ψυχική διαταραχή. Για τη διεξαγωγή της μελέτης χρησιμοποιήθηκε η ελληνική μετάφραση της ερευνητικής έκδοσης του εργαλείου: CAN–R 3.0. Επιμέρους στόχοι της μελέτης ήταν: 1) να ελεγχθεί η αξιοπιστία μεταξύ βαθμολογητών (interrater reliability) και η αξιοπιστία ελέγχου-επανελέγχου (test-retest reliability) του εργαλείου, 2) να ελεγχθεί η συγχρονική εγκυρότητα (concurrent validity) του εργαλείου με την χρήση ως εξωτερικών κριτηρίων εργαλείων υποκειμενικής εκτίμησης της ποιότητας ζωής και της αναπηρίας - συγκεκριμένα με την χρήση των κλιμάκων WHOQOL-BREF και WHODAS 2.0, 3) να διερευνηθούν οι σχέσεις μεταξύ των αναγκών, της ποιότητας ζωής, της αναπηρίας/λειτουργικότητας & της ψυχοπαθολογίας, 4) να εντοπιστούν οι πιθανές διαφορές του προφίλ των αναγκών έτσι όπως εκτιμάται αφενός από τους ίδιους τους ασθενείς και αφετέρου από τους επαγγελματίες υγείας. Χορηγήσαμε το CAN-R σε δυο διαφορετικά χρονικά διαστήματα, με απόσταση 15 ημερών, σε 53 πάσχοντες από σχιζοφρένεια όπως και στους επαγγελματίες υγείας/ πρόσωπα αναφοράς, των ασθενών αυτών. Επιπλέον, στους 53 ασθενείς του δείγματός μας χορηγήσαμε τις κλίμακες WHOQOL-BREF, WHODAS 2.0 και PANSS. Σύμφωνα με τα ευρήματα της μελέτης μας: 1) προέκυψε ότι η ελληνική μετάφραση του CAN διαθέτει εξαιρετική αξιοπιστία μεταξύ βαθμολογητών και αξιοπιστία ελέγχου-επανελέγχου, 2) τεκμηριώθηκε ισχυρότερα η συγχρονική εγκυρότητα του CAN-R γενικότερα, δηλαδή η εδραίωση της δεν περιορίζεται αποκλειστικά στην ελληνική μετάφραση του εργαλείου, 3) βρέθηκε ότι όσο αυξάνει ο αριθμός των αναγκών που δεν καλύπτονται τόσο υποβαθμίζεται η ποιότητα ζωής των ασθενών, 4) οι στατιστικά σημαντικές αρνητικές συσχετίσεις που προέκυψαν μεταξύ αναγκών και αναπηρίας όπως και μεταξύ αναγκών και ψυχοπαθολογίας παραπέμπουν σε μια πιθανή αιτιολογική σχέση μεταξύ των ανωτέρω δεικτών θεραπευτικού αποτελέσματος 5) βρέθηκε υψηλή συμφωνία μεταξύ προσωπικού και ασθενών ως προς την εκτίμηση των αναγκών των τελευταίων σε αντίθεση με τα ευρήματα των περισσοτέρων προηγούμενων μελετών, πιθανά εξαιτίας της σταθερότητας της θεραπευτικής σχέσης και της συχνής παρακολούθησης για το 65% των υποκειμένων του δείγματός μας.O έλεγχος των ψυχομετρικών ιδιοτήτων του CAN-R απέδειξε ότι η ελληνική μετάφραση του εργαλείου διαθέτει εξαιρετική αξιοπιστία και εγκυρότητα. Η χορήγηση του CAN θα επιτρέψει την διεξαγωγή αξιόπιστων και έγκυρων εκτιμήσεων των αναγκών στον ελληνικό χώρο σε ερευνητικό επίπεδο και σε κλινικό επίπεδο. Η παρούσα μελέτη αλλά και όσες ακολουθήσουν με τη χρήση του CAN-R αναμένεται να συμβάλλουν στην ενίσχυση του κινήματος για την ισότιμη συμμετοχή των χρηστών των υπηρεσιών στη λήψη αποφάσεων, από τον θεραπευτικό σχεδιασμό σε ατομικό επίπεδο ως την χάραξη της κοινωνικής πολιτικής στο χώρο της ψυχικής υγείας, με απώτερο στόχο την διασφάλιση της ποιότητας ζωής τους. .


2000 ◽  
Vol 177 (S39) ◽  
pp. s34-s40 ◽  
Author(s):  
Paul McCrone ◽  
Morven Leese ◽  
Graham Thornicroft ◽  
Aart H. Schene ◽  
Helle Charlotte Knudsen ◽  
...  

BackgroundThe five-country European Psychiatric Services: Inputs Linked to Outcome Domains and Needs (EPSILON) Study aimed to develop standardised and reliable outcome instruments for people with schizophrenia. This paper reports reliability findings for the Camberwell Assessment of Need – European Version (CAN-EU).MethodThe CAN – EU was administered in each country, at two points in time to assess test – retest reliability, and was rated by two interviewers at the first administration. Cronbach's α, test–retest reliability and interrater reliability were compared between the five sites. Reliability coefficients and standard errors of measurement for summary scores were estimated.ResultsSites varied in levels and spread of needs. Alphas were 0.48, 0.58 and 0.64 for total, met and unmet needs respectively. Test–retest reliability estimates, pooled over sites, were 0.85 for the total needs, 0.69 for met needs and 0.78 for unmet needs. Pooled estimates for interrater reliability were higher, at 0.94, 0.85 and 0.79 for total, met and unmet needs respectively. There were statistically significant differences in interrater reliability between sites.ConclusionThe results confirm the feasibility of using CAN–EU across sites in Europe and its psychometric adequacy.


2008 ◽  
Vol 21 (01) ◽  
pp. 94 ◽  
Author(s):  
Lia Fernandes ◽  
Manuel Gonçalves-Pereira ◽  
António Leuschner ◽  
Sónia Martins ◽  
Margarida Sobral ◽  
...  

2015 ◽  
Author(s):  
Janine Stein ◽  
Melanie Luppa ◽  
Hans-Helmut König ◽  
Steffi G. Riedel-Heller

Author(s):  
Janet L. Peacock ◽  
Sally M. Kerry ◽  
Raymond R. Balise

Presenting Medical Statistics from Proposal to Publication (second edition) aims to show readers how to conduct a wide range of statistical analyses from sample size calculations through to multifactorial regressions that are needed in the research process. The second edition of ‘Presenting’ has been revised and updated and now includes Stata, SAS, SPSS, and R. The book shows how to interpret each computer output and illustrates how to present the results and accompanying text in a format suitable for a peer-reviewed journal article or research report. All analyses are illustrated using real data and all programming code, outputs, and datasets used in the book are available on a website for readers to freely download and use. ‘Presenting’ includes practical information and helpful tips for software, all statistical methods used, and the research process. It is written by three experienced biostatisticians, Janet Peacock, Sally Kerry, and Ray Balise from the UK and the USA, and is born out of their extensive experience conducting collaborative medical research, teaching medical students, physicians, and other health professionals, and providing researchers with advice.


2020 ◽  
Vol 253 ◽  
pp. R77-R85 ◽  
Author(s):  
Arnab Bhattacharjee ◽  
Elena Lisauskaite

We use microsimulation combined with a model of the COVID-19 impacts on individuals and households to obtain projections of households in destitution in the United Kingdom. The projections are estimated at two levels: aggregate quarterly for the UK, for all quarters of 2020; and annual for 2020 differentiated by region, sector and household demographics. At the aggregate level, destitution is projected to be about three times higher than the non-COVID counterfactual level in 2020Q2, as well as substantially higher than the non-COVID case for the remainder of the year. This increased destitution is initially largely due to the effect on the self-employed, and as the Furlough scheme is drawn down, also on the unemployed. Impacts upon different regions and sectors vary widely, and so do variations across different household types. The sectors particularly affected are construction and manufacturing, while London and its closely connected regions (South East and the Midlands) are most severely affected. Single adult households suffer the most, and the adverse effects increase with number of children in the household. That the effects upon youth remain high is a particularly worrying sign, and very high increases in destitution are also projected for 25–54 year olds and the elderly (75 years and older). Further, severe adverse effects are projected for sections of society and the economy where multiple impacts are coincident. Robust and sustained mitigation measures are therefore required.


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