Select Page

Table 17.5 Characteristics of the Agitated Behavior Scale

 
Criterion Evidence
Reliability

Interobserver Reliability: Inter-rater correlation of the total score has been found to exceed 0.70 (Corrigan & Bogner, 1995). Class Correlation (CC) of 0.920 for the total score and for the subscale: Disinhibition CC of 0.902; Aggression CC of 0.090; Lability CC of 0.726 (Bogner et al., 1999). Results from a long term care facility also indicates good inter-rater reliability with a CC of 0.906 for the total score, 0.870 for Disinhibition, 0.886 for Aggression and 0.860 for Lability. Amato et al. (2012) found that when 30 patients were assessed, inter-rater reliability between an RN and an unlicensed caregiver was exact 71% of the time. 23% were within two points, and 6% were within 3-5 points of each other.

Internal Consistency: Cronbach’s scores have consistently been above 0.838 to 0.914 (Bogner et al., 1999; Corrigan, 1989; Corrigan & Deming, 1995). Theta scores ranged from 0.845-0.920 indicating adequate internal consistency (Corrigan, 1989) . When the scale was tested to determine its internal consistency with individuals living in a long term care facility, Cronbach was 0.808 and 0.740 (Bogner et al., 1999).

Validity

Concurrent Validity: The correlations between the ABS and the Braintree Agitation Scale GCOP and GCOD were consistently high (p<0.001) (Corrigan, 1989).

Construct Validity: Agitation was also found to be correlated with the Orientation Group Monitoring System (r=-0.529, p<0.001) and the Mini-Mental State Exam (MMSE; r=-0.526, p<0.001) (Corrigan & Mysiw, 1988).

Predictive Validity: Improvement on various cognition scales (MMS and the FIM Cognition) have been found to predict a decrease in ABS scores (Bogner et al., 2000; Corrigan & Bogner, 1995).

Responsiveness Corrigan and Mysiw (1988) found that as scores on the Orientation Group Monitoring System and the MMSE improved, scores on the ABS decreased. Similarly, as Post Traumatic Amnesia (PTA) was resolved and cognition scores improved, agitation scores decreased. Corrigan et al. (1996) found scores from the ABS that when used to assess agitation in both an Alzheimer’s disease group and an ABI group (both young and older) showed no significant difference between the means for each group: Alzheimer’s group: 23.97 3.93, older BI group: 23.764.00, and young BI group: 24.054.05. Further investigation found the scores on the subscale aggression differed significantly between the Alzheimer’s group and the young BI group (p<0.036). However, there was no significant difference on the scores between the young and old BI group (p>0.05).
Tested for ABI/TBI patients?* Yes designed for and tested with a TBI population
Other Formats No
Use by Proxy? To be administered by hospital or community staff