Pierre Bouchet, Christian Toinard, Sophie Jacquot

Proceedings of the 15th International Multi-Conference on Complexity, Informatics and Cybernetics: IMCIC 2024, pp. 40-45 (2024); https://doi.org/10.54808/IMCIC2024.01.40

Pierre Bouchet
SIPAD, Laboratoire d’Informatique Fondamentale d’Orléans, SDS team, INSA CVL, Orléans, France

Christian Toinard
Laboratoire d’Informatique Fondamentale d’Orléans, SDS team, INSA CVL, Bourges, France

Sophie Jacquot
Institut Denis Poisson, Université d’Orléans, Orléans, France

Cite this paper as:
Bouchet, P., Toinard, C., Jacquot, S. (2024). A Passive Assessment of Homecare Need with a Rasch Model. In N. Callaos, S. Hashimoto, N. Lace, B. Sánchez, M. Savoie (Eds.), Proceedings of the 15th International Multi-Conference on Complexity, Informatics and Cybernetics: IMCIC 2024, pp. 40-45. International Institute of Informatics and Cybernetics. https://doi.org/10.54808/IMCIC2024.01.40

This article proposes a new way of passively assessing homecare need for older people living at home. The main advantage is to provide a precise measure with a limited effort for the caregivers. Research proposition is based on a Rasch model that uses available daily activities of care, which are performed by the professional caregivers. The proposed approach follows the idea of a precision and personalized care where the collected data provide a dedicated measure for the recipient’s homecare needs. Then from the latter, the recipient’s autonomy can be approached. Data from 531 recipients were used. They are collected by a French company providing a Cloud service hosting different homecare services. The proposed Rasch model aims at completing the available geriatric level of autonomy (GIR) in order to have a precise and continuous evaluation of the autonomy. No significant misfit appeared on the considered items of the Rasch model. Thus, a satisfying Rasch model is proposed for the different GIR levels showing a consistent relation with this widespread scale. The proposed assessment enables a continuous evaluation of the evolution of the loss of autonomy for each recipient through the assessment of each recipient’s homecare need. Moreover, it provides a wide range of uses and is a good starting point to bring forth new indicators towards a precision care. Indeed, our assessment is more responsive but dependent on the GIR scale. For example, a changepoint detection on a recipient’s need curve can open discussions amongst the various stakeholders and thus new means of care can be submitted regarding the evolution of autonomy. This approach’s purpose is to help the stakeholders, especially the professional caregivers, to adapt their action plan. It addresses the complexity of having better indicators for the caregiving needs of older persons living at home.