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Reliability and validity of the Cohen–Mansfield agitation inventory in institutionalized elderly

✍ Scribed by Sanford I. Finkel; John S. Lyons; Rachel L. Anderson

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
329 KB
Volume
7
Category
Article
ISSN
0885-6230

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✦ Synopsis

The reliability and validity of the Cohen-Mansfield Agitation Inventory (CMAI) were studied in residents of a long-term care facility. The CMAI demonstrated high internal consistency, but only marginally adequate interrater reliability. Correlations with the Behavioral Syndromes Scale for Dementia (BSSD) and the Behavioral Pathology in Alzheimcr's Disease (Behave-AD) provide support for the contention that the CMAI is a valid measure of agitation with nursing home residents.

KEY WORDS-Agitation, psychological scales, dementia, nursing home.

Agitation is a significant management problem in the care of elderly persons in skilled nursing facilities, affecting individual service needs and care planning. The National Nursing Home Survey in 1985 reported that a majority of nursing home residents exhibited some form of behavioral disturbance (National Center for Health Care Statistics, 1986). Rovner et ul. (I 986) report that 76% of nursing home residents sampled had at least one behavioral problem and 40% had five or more. Others estimate that between 64% and 930/0 of nursing home residents exhibit significant levels of agitated behavior (Zimmer et ul., 1984; Cohen-Mansfield et ul., 1989).

The measurement of behavior disturbances among the elderly has evolved in recent years to include observational ratings as well as clinical ratings. One measure that has been studied in some detail is thc Cohen-Mansfield Agitation Inventory (CMAI). However, as this research has been limited to a single site (Cohen-

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