[Study of the validity of ADL assessment by Minsei-iin of bed ridden elderly cared for at home]

We studied the validity of assessment of activities of daily living (ADL) by minsei-iins of the bed ridden elderly cared for at home. The cases, 66 male and 128 female elderly in a county of Gunma Prefecture, had been registered by minsei-iins (non-professional district welfare commissioners) as bed ridden cared for at home. Minsei-iins interviewed the case and the caregiver at home, asking them about the term of care, the levels of independence in their daily living, and seven items of ADL. Out of the 194 cases registered, PTs or OTs interviewed 136 cases, 42 male and 94 female, and calculated the Barthel index score. The Quantification method of the first type was applied to the data to predict the Barthel index score. The independent variables were five items of ADL assessed by the minsei-iins. The relation was close between the assessment of all items of ADL by the minsei-iins and the Barthel index calculated by the PTs or OTs. The Quantification method of the first type revealed that bathing, excreting and walking contributed most to the measured Barthel index. The multiple correlation coefficient was 0.687. There were three cases who scored 100 in the Barthel index.