Research article summary:

Measuring change in psychiatric symptoms using the Neuropsychiatric Inventory: Nursing Home version.

Abstract Extract:
BACKGROUND: The Neuropsychiatric Inventory-Nursing Home version (NPI-NH) is a modified version of the Neuropsychiatric Inventory (NPI). Accurate interpretation of change in the symptom ratings on the NPI-NH, as with any measure, is a concern for both ... (Full abstract text below)

Published 2002May in Journal: Int J Geriatr Psychiatry (Language : eng)

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1. Int J Geriatr Psychiatry. 2002 May;17(5):438-43

Measuring change in psychiatric symptoms using the Neuropsychiatric Inventory: Nursing Home version.

Iverson GL, Hopp GA, DeWolfe K, Solomons K

University of British Columbia, Vancouver, Canada. giverson@interchange.ubc.ca

BACKGROUND: The Neuropsychiatric Inventory-Nursing Home version (NPI-NH) is a modified version of the Neuropsychiatric Inventory (NPI). Accurate interpretation of change in the symptom ratings on the NPI-NH, as with any measure, is a concern for both clinicians and researchers. The purpose of this article is to present data for the interpretation of reliable change in the NPI-NH scores for acute geriatric neuropsychiatry patients. METHOD: Fifty-two geriatric psychiatry inpatients were administered the NPI-NH twice, at a 72-hour interval. Standard errors of difference scores were used to calculate confidence intervals for each of the NPI-NH subscales and the total score. RESULTS: Based on the calculations described above, estimates of reliable change on the individual subscales ranged from plus or minus 1.29 points on the Euphoria/Elation subscale to 5.13 points on the Anxiety subscale. Statistically meaningful change on the Agitation and the Apathy subscales was established at 4.0 and 4.3 points, respectively. A change in the total score of plus or minus 22 points is required to exceed the possible range of measurement error, at a 0.80 confidence interval (CI). CONCLUSIONS: Overall, the results of this study indicate that the clinician evaluating elderly psychiatric inpatients should interpret a change in the total score of less than 22 points with caution, because it may be due to measurement error.

PMID : 11994932 [PubMed - Indexed for MEDLINE]

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Full Author Information

First Name	LastName	Initials
Grant L	Iverson	GL
Grace A	Hopp	GA
Kimberley	DeWolfe	K
Kevin	Solomons	K

Affiliation: University of British Columbia, Vancouver, Canada. giverson@interchange.ubc.ca

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