title: Utility of the Aggressive Behavior Risk Assessment Tool in long-term care homes.
abstract: This study was conducted to determine the utility of the Aggressive Behavior Risk Assessment Tool (ABRAT) and the Aggressive Behavior Scale (ABS) for predicting aggressive incidents among newly-admitted and existing residents of two long-term care homes in Canada. Of 316 residents, 27 had at least one aggressive incident (8.5%). Receiver operating characteristics analysis showed that the area under the curve for the ABRAT was 0.86 (95% Confidence Interval [CI], 0.81-0.92) and that for the ABS was 0.75 (95% CI, 0.64-0.85). Sensitivity and specificity at the optimal cutoff score of 2 for the ABRAT were 96.3% and 65.4%, respectively, and those for the ABS at the optimal cutoff score of 3 were 59.3% and 80.6%, respectively. The ABRAT appears to be promising for use in long-term care homes for identifying potentially aggressive residents. However, further studies are needed to test the utility of the ABRAT among newly-admitted residents.
authors.affiliation: Extendicare (Canada) Inc., Unit 227, 333 Aspen Glen Landing SW, Calgary, AB T3H ON6, Canada.
authors.forename: Brigette
authors.initials: B
authors.lastname: Berry
authors.affiliation: Extendicare (Canada) Inc., Unit 227, 333 Aspen Glen Landing SW, Calgary, AB T3H ON6, Canada.
authors.forename: Lori
authors.initials: L
authors.lastname: Young
authors.affiliation: St. David's School of Nursing, Texas State University, 1555 University Blvd., Round Rock, TX 78665, USA. Electronic address: sck30@txstate.edu.
authors.forename: Son Chae
authors.initials: SC
authors.lastname: Kim
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000374:Aggression; D002170:Canada; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires
keywords: Aged; Aggression; Long-term care; Nursing homes; Risk assessment