Citation

Berry B, Young L, Kim SC. Geriatr. Nurs. 2017; 38(5): 417-422.

Affiliation

St. David's School of Nursing, Texas State University, 1555 University Blvd., Round Rock, TX 78665, USA. Electronic address: sck30@txstate.edu.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.gerinurse.2017.02.004

PMID

28291564

Abstract

This study was conducted to determine the utility of the Aggressive Behavior Risk Assessment Tool (ABRAT) and the Aggressive Behavior Scale (ABS) for predicting aggressive incidents among newly-admitted and existing residents of two long-term care homes in Canada. Of 316 residents, 27 had at least one aggressive incident (8.5%). Receiver operating characteristics analysis showed that the area under the curve for the ABRAT was 0.86 (95% Confidence Interval [CI], 0.81-0.92) and that for the ABS was 0.75 (95% CI, 0.64-0.85). Sensitivity and specificity at the optimal cutoff score of 2 for the ABRAT were 96.3% and 65.4%, respectively, and those for the ABS at the optimal cutoff score of 3 were 59.3% and 80.6%, respectively. The ABRAT appears to be promising for use in long-term care homes for identifying potentially aggressive residents. However, further studies are needed to test the utility of the ABRAT among newly-admitted residents.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

Aged; Aggression; Long-term care; Nursing homes; Risk assessment