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Assessing dysfunctional behaviors in long-term care.

P Andrew Clifford1, Daisha J Cipher, Kristi D Roper

  • 1Mind-Body Wellness Institute, Senior Connections of Dallas, Dallas, TX, USA.

Journal of the American Medical Directors Association
|September 17, 2005
PubMed
Summary

The Geriatric Level of Dysfunction Scale (GLDS) reliably and validly assesses behavioral disturbances in long-term care residents. This tool aids clinicians in evaluating patient dysfunction.

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Area of Science:

  • Gerontology
  • Psychometrics
  • Long-term care research

Background:

  • Behavioral disturbances are common in long-term care settings.
  • Accurate assessment tools are crucial for effective patient management.
  • The Geriatric Level of Dysfunction Scale (GLDS) was developed to address this need.

Purpose of the Study:

  • To evaluate the psychometric properties of the Geriatric Level of Dysfunction Scale (GLDS).
  • To determine the reliability and validity of the GLDS for assessing behavioral disturbances in older adults.
  • To explore the potential utility of the GLDS in long-term care settings.

Main Methods:

  • Secondary analysis of data from 399 residents in 16 long-term care facilities.
  • Assessment of GLDS item reliability, content validity, and convergent/discriminant validity.

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  • Correlational analysis with established geriatric assessment instruments.

    • Main Results:

    • The GLDS demonstrated good reliability and validity.
    • GLDS items showed significant correlations with measures of pain, depression, cognitive status, and psychosocial resistance.
    • The scale is a valid tool for assessing dysfunctional behaviors.

    Conclusions:

    • The Geriatric Level of Dysfunction Scale (GLDS) is a reliable and valid instrument for assessing dysfunctional behaviors in long-term care residents.
    • Its brevity and clear criteria make it practical for clinicians.
    • Further research into its use as a treatment outcome measure is recommended.