Can the Sherbrooke postal questionnaire predict who will require comprehensive assessment in the single assessment process?

Hemsley, Z.M., Roberts, H.C., Thomas, G., Sayer, A. Aihie, Gove, I., Turner, G., Meakins, P., Morran-Ryan, M., Purcell, A. and Powell, J. (2005) Can the Sherbrooke postal questionnaire predict who will require comprehensive assessment in the single assessment process? Age and Ageing, 34 (Supplement 2), pp.ii20. (doi:10.1093/ageing/34.ii18).

Abstract

Introduction: The Canadian 6 item Sherbrooke questionnaire is recommended for case-finding and the Minimum Data Set for Home Care (MDS-HC) is accredited for overview/comprehensive assessment within the single assessment process. We evaluated their use in primary care.
Methods: 945 community-dwelling patients aged 70 + registered with one practice were posted the Sherbrooke Questionnaire. All patients with 4-6 positive answers were offered an overview assessment with comprehensive assessment where triggered by the MDS-HC protocol. Half of those scoring 2 and 3 were randomly similarly assessed.
Results: 863 (91.3%) patients replied. 507(53.6%) triggered further assessment.
Conclusions: Patients with higher Sherbrooke scores were more likely to require comprehensive assessment, and those scoring 2 required very few. We propose a cut-off score of 3 or more for further assessment in Britain. Many patients refused further assessment, seeing little personal benefit.

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Contributors

Author: H.C. Roberts

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