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Updated: Feb 19, 2026
Multi-Modal Home Sleep Monitoring in Older Adults
Published on: January 26, 2019
Multidimensional measures validated for home health needs of older persons: A systematic review
Daniela de Rossi Figueiredo1, Lucilene Gama Paes2, Alessandra Martins Warmling3
1Post-Graduate Program in Nursing,Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Florianopolis, SC 88040-900, Brazil; Post-Graduate Program in Dentistry, Federal University of Santa Catarina, Campus Reitor João David Ferreira Lima, Florianopolis, SC 88040-900, Brazil.
Objective:
To conduct a systematic review of the literature on valid and reliable multidimensional instruments to assess home health needs of older persons.
Design:
Systematic review.
Data Source:
Electronic databases, PubMed/Medline, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online and the Latin American and Caribbean Health Sciences Information.
Review Methods:
All English, Portuguese and Spanish literature which included studies of reliability and validity of instruments that assessed at least two dimensions: physical, psychological, social support and functional independence, self-rated health behaviors and contextual environment and if such instruments proposed interventions after evaluation and/or monitoring changes over a period of time.
Participants:
Older persons aged 60 years or older.
Results:
Of the 2397 studies identified, 32 were considered eligible. Two-thirds of the instruments proposed the physical, psychological, social support and functional independence dimensions. Inter-observer and intra-observer reliability and internal consistency values were 0.7 or above. More than two-thirds of the studies included validity (n=26) and more than one validity was tested in 15% (n=4) of these. Only 7% (n=2) proposed interventions after evaluation and/or monitoring changes over a period of time.
Conclusion:
Although the multidimensional assessment was performed, and the reliability values of the reviewed studies were satisfactory, different validity tests were not present in several studies. A gap at the instrument conception was observed related to interventions after evaluation and/or monitoring changes over a period of time. Further studies with this purpose are necessary for home health needs of the older persons.
