title: Internet-based questionnaire to self-assess autonomy and obtain a life-at-home services enforcement plan: a retrospective validation study.
abstract: BACKGROUND
  In France, a specially-designed care plan for the elderly is generally based on an interdisciplinary, complex and time-consuming process. The health system assigns care throughout the social and health care services using multiple providers and sites.
  
  
  OBJECTIVE
  The free website www.jesuisautonome.fr offers senior citizens and their families an opportunity to assess their own independence at home using a questionnaire in order to obtain a personal, life-at-home, enforcement plan. We aim to examine the correlation between the specially-designed care plan obtained by the usual assessment method and through self-evaluation via the website.
  
  
  METHODS
  Community-dwelling subjects, consulting for the first time from December 2012 to July 2014, were under consideration. Patients were assessed using the Comprehensive Geriatric Assessment (CGA) and also independently during the first consultation; patients and their caregivers were then asked to fill out the questionnaire on the website. The two methods were compared using the Bland-Altman analysis for quantitative values and Kappa values for qualitative values.
  
  
  RESULTS
  73 patients completed the study. Correlation was excellent between parameters that did not include error due to risk to the patient (assistance with bathing and dressing, a nurse for drug distribution, measure of legal protection). Correlation was good with housekeeper hours that involved a financial cost to state social services and families. The GIR (Iso Ressource Groupe), which in France serves as a reference to determine social disability of the elderly, was similar.
  
  
  CONCLUSIONS
  Our study confirms the potential of the website www.jesuisautonome.fr. to improve the delivery of health and social care services.
authors.affiliation: Neurologist, geriatrician, Memory Center, Bretonneau Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France pierre.koskas@brt.aphp.fr.
authors.forename: P
authors.initials: P
authors.lastname: Koskas
authors.affiliation: Webdesigner, NEOMA Business School (2008 Graduate), Rouen, France.
authors.forename: E
authors.initials: E
authors.lastname: Scemama
authors.affiliation: Chief Architect, NEOMA Business School(2008 Graduate), Rouen, France.
authors.forename: B
authors.initials: B
authors.lastname: Wolfowicz
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers; D059026:Diagnostic Self Evaluation; D005260:Female; D005602:France; D015577:Geriatric Assessment / Q000379:methods*; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D026684:Personal Autonomy; D012189:Retrospective Studies; D011795:Surveys and Questionnaires