title: [Primary care screening of problems in the elderly and a proposal for a screening protocol with a multidimensional approach].
abstract: The objectives were to examine psychometric properties of a screening test for the elderly and to propose a protocol for use in primary care. The method consisted of four stages: (1) inter-evaluator reliability for performance tests and self-assessment questions for eight functions; (2) sensitivity and specificity of questions on depression and social support; (3) meeting of experts to select instrumental activities of daily living (IADL); and (4) elaboration of the protocol. Screening lasted 16 minutes. Inter-evaluator reliability was excellent for performance tests but poor for questions. Depression and social support showed satisfactory sensitivity and specificity (0.74/0.77 and 0.77/0.96). Four IADL were selected by more than 55% of the experts. Following the results, a screening protocol was elaborated that prioritized the use of performance tests, maintaining questions on mood, social support, and IADL. The study suggests better reproducibility of performance tests when compared to questions. For mood and social support, the questions may provide a first screening stage. The proposed protocol allows rapid screening of problems.
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Valéria Teresa Saraiva
authors.initials: VT
authors.lastname: Lino
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Margareth Crisóstomo
authors.initials: MC
authors.lastname: Portela
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Luiz Antonio Bastos
authors.initials: LA
authors.lastname: Camacho
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Nadia Cristina Pinheiro
authors.initials: NC
authors.lastname: Rodrigues
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.|Centro de Estudos e Pesquisas do Envelhecimento do Rio de Janeiro, Rio de Janeiro, Brasil.
authors.forename: Monica Kramer de Noronha
authors.initials: MK
authors.lastname: Andrade
authors.affiliation: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
authors.forename: Gisele
authors.initials: G
authors.lastname: O'Dwyer
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D003430:Cross-Sectional Studies; D003863:Depression / Q000175:diagnosis; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards*; D011237:Predictive Value of Tests; D011320:Primary Health Care / Q000592:standards*; D011594:Psychometrics; D015203:Reproducibility of Results; D012647:Self-Assessment; D012680:Sensitivity and Specificity; D012944:Social Support; D011795:Surveys and Questionnaires / Q000592:standards