Skip to main content

Table 2 Evaluation of selected outcome measures for CGA

From: Using comprehensive geriatric assessment for older adults undertaking a facility-based transition care program to evaluate functional outcomes: a feasibility study

Domain Outcome (n = 10 participants) Number of participants assessed at admission/discharge (%) Duration taken to complete measure (mins) (mean ± SD) Evaluation comments from staff
Physical 10m Walk Test 9 (90%) / 9 (90%) 2.4 ± 0.53 - Minimal equipment required
- Useful for quickly identifying gait impairments for further assessment and care planning
- Walking speed score helpful for comparing with normative values for other functional correlates
- Test condition of self-paced walking speed can be conducted relatively easily in patients with moderate to severe cognitive impairment as minimal instruction is required
- One participant unable to perform 10MWT due to being non-ambulant (at least 3 years) prior to hospital admission
Modified Barthel Index 100 (100%) / 100 (100%) 10.5 ± 1.54 - Completed by TC nurses at both admission and discharge
- Provides useful information regarding personal ADL performance to assist with care planning
de Morton Mobility Index 100 (100%) / 100 (100%) 14.3 ± 5.35 - Useful as part of initial and discharge assessment as it comprises of balance, bed mobility and ambulation measures
- Useful as provides a comprehensive patient functional mobility profile for nursing and therapy staff management in a short amount of time
- Hierarchy of tasks are useful in assisting to set smaller interim goals
- Used across health and home care settings thus scores can be compared in longer term evaluation of patient functional mobility
- Use will depend on baseline function pre-hospitalisation
Timed Up and Go 9 (90%) / 9 (90%) 2.53 ± 0.96 - Easily completed at patient’s bedside
- Provides very quick review of gait (walking), balance (turning) and leg strength (sit to stand)
- Requires a patient to understand a 5-stage command hence low suitability for moderate cognitive impairment
- One participant was unable to perform TUG due to being non-ambulant (at least 3 years) prior to hospital admission
Social Lawton scale 100 (100%) / 100 (100%) 5.8 ± 2.17 - Provides useful information regarding older adults’ IADL performance to assist with planning for community discharge
EQ-5D-5L 100 (100%) / 100 (100%) 3.6 ± 1.12 - Provides useful information regarding older adults’ self-perceived general health and wellbeing for program engagement
Cognitive Mini Mental State Examination 100 (100%) / 100 (100%) 7.9 ± 2.88 - Easier to administer as it takes less time
- Provide useful information on executive function, memory, orientation, language to facilitate communication
- Has ceiling effect
- Inclusion in assessment depends on type of client
- Useful for older adults who are rarely assessed with MMSE
Montreal Cognitive Assessment 100 (100%) / 100 (100%) 30–60 - Completed by TC occupational therapist
- More sensitive in detecting mild cognitive impairment
- Requires more time to assess
Emotional Geriatric Depression Scale 100 (100%) / 100 (100%) 5.8 ± 3.14 - Can help screen patients for potential depressive symptoms at discharge that may require referral for services post-TCP discharge
- Can make some patients feel slightly uncomfortable on specific questions
- Questionnaire a bit long for administration
- Less relevant for TCP clients; will not use as part of usual assessment unless indicated
Patient Health Questionnaire-9 100 (100%) / 100 (100%) 6.4 ± 2.50 - Provides useful information for patients with potential depressive symptoms
- While this measure focused on diagnostic criteria for DSM-IV depressive disorders, it is less repetitive and provoking
- Assists clinicians to tailor activities for symptoms such as poor sleep, change in appetite and loneliness
- Less relevant for these clients
- Some questions appeared to make clients feel uncomfortable
Less provoking and more general compared to GDS