ArticleAlzheimer's & dementia. Behavior & socioeconomics of aging2026
Development and validation of the Caregiver-reported Outcome Measure for Emergency care Transitions (COMET) tool.
Article in Alzheimer's & dementia. Behavior & socioeconomics of aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionEmergency department (ED) care transitions are particularly challenging for persons living with cognitive impairment (PLWCI) and their care partners. Existing measures overlook care partners' unique experiences. We developed and validated the Caregiver-reported Outcome Measure for Emergency care Transitions (COMET) tool to assess these transitions.
methodsWe enrolled 170 care partners from four EDs in a multiphase process including qualitative interviews, item development, member checking, cognitive debriefing, expert review, and psychometric testing.
resultsThe final 15-item COMET tool captures understanding of discharge instructions, caregiver burden, and positive aspects of caregiving. It showed feasibility (mean completion time = 5.87 min), excellent internal consistency ( DISCUSSION: COMET is a feasible, reliable, and valid tool for evaluating ED care transitions for PLWCI and their care partners.
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