Dear editor
I have read with interest the paper by Azar et al, about the improvement in delirium health literacy they achieved in older adult patients and their caregivers, while attending a geriatric clinic.1
The improvement in delirium literacy close to complete competence is valuable indeed, and it is worthily warranted, as its need is apparent.
Yet I am just concerned about the statistical tool Authors adopted in their analysis. I suggest to verify if their results still persist using a different test. As far as I know, in case of pre-post comparisons, instead of Chi-square test [which requires independence of observations], McNemar test should be employed, as it fits for contingency tables whose observations are serially linked.2
Anyway, I share Authors’ intentions: having worked longtime leading a geriatric rehabilitation ward, in a skilled multi-purpose teaching nursing home, I do agree on the educational role of such kind of units.
Disclosure
The author reports no conflicts of interest in this communication.
1. Azhar G, Sharma S, Lau O, et al. Quality improvement in delirium health literacy in older adult patients and their caregivers attending a geriatric clinic. Clin Interv Aging. 2022;17:1901–1906. doi:10.2147/CIA.S388325
2. Ottenbacher KJ. The chi-square test: its use in rehabilitation research. Arch Phys Med Rehabil. 1995;76(7):678–681. doi:10.1016/s0003-9993(95)80639-3
Mauro Colombo
Golgi Cenci Foundation, Milan, Italy
Correspondence: Mauro Colombo, Email [email protected]
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Abstract
Mauro Colombo
Golgi Cenci Foundation, Milan, Italy
Correspondence: Mauro Colombo, Email [email protected]
View the original paper by Dr Azhar and colleagues
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