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Agreement Between Instruments for Rating Treatment Decisional Capacity
Ist Teil von
The American journal of geriatric psychiatry, 2007-02, Vol.15 (2), p.168-173
Ort / Verlag
England: Elsevier Inc
Erscheinungsjahr
2007
Quelle
MEDLINE
Beschreibungen/Notizen
Objective The objective of this study was to measure agreement between three treatment decisional capacity assessment instruments in mild to moderate dementia. Method Subjects (N=79) were recruited from the community. Rating agreement was evaluated with kappa statistics. Results Three-way agreement was fair for overall capacity (κ=0.451), very good for understanding (0.618), very poor for choice (0.158), and no better than chance for reasoning and appreciation. Pairwise agreement showed a similar pattern. Conclusions With the exception of understanding, current treatment decisional capacity assessment instruments do not consistently agree with one another in assessing treatment decision abilities.