[Development of a tool for recording involvement/engagement in activities in the systematic observation of elderly persons with cognitive impairment].
BACKGROUND
As the level of cognitive impairment in people with dementia increases, it seems that the interventions aimed at this group do not obtain the expected results. Thus, it is clear that there is a need to develop specific assessment tools. One of the important aspects in people with dementia is the engagement, involvement in task and activities. Engagement is considered a quality of life and quality of care indicator. The aim of the study is to develop an Engagement recording tool for mapping people with dementia, and to obtain reliability measures.


METHODS
The present paper aims to present the current development of engagement behaviours. The pilot study had a sample of 19 people distributed into two groups, which were observed in order to obtain inter-rater reliability measurements using the percentage of inter-rater agreement.


RESULTS
An observational mapping instrument was developed that achieved a high inter-rater reliability.


CONCLUSIONS
The Engagement recording tool makes it possible to gather promising results on the effects of the interventions for people with severe dementia. On the other hand, these results point to the possibilities of more specific tools to assess the different interventions which aim is to improve quality of life and quality of care in people with dementia.
Fundación Instituto Gerontológico Matia-INGEMA, Madrid, España. Electronic address: alvaro.garcia@ingema.es.
Alvaro
A
García-Soler
Fundación Matia, Donostia-San Sebastián, Guipúzcoa, España.
Cristina
C
Buiza Bueno
Fundación Instituto Gerontológico Matia-INGEMA, Donostia-San Sebastián, Guipúzcoa, España.
Raúl
R
Vaca Bermejo
Fundación Instituto Gerontológico Matia-INGEMA, Donostia-San Sebastián, Guipúzcoa, España.
Xabier
X
Ansorena Urchegui
D000368:Aged; D000369:Aged, 80 and over; D001288:Attention; D003072:Cognition Disorders / Q000175:diagnosis* / Q000523:psychology*; D003704:Dementia / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D015588:Observer Variation; D010865:Pilot Projects; D011581:Psychological Tests / Q000706:statistics & numerical data; D015203:Reproducibility of Results
Assessment; Demencia; Dementia; Engagement; Evaluación; Implicación; Involvement; Recording; Registro